Patient presents with a confirmed diagnosis of pregnancy complicated by polycystic ovary syndrome (PCOS).  The patient is currently at [Gestational age] weeks gestation based on [Last menstrual period/Ultrasound dating].  Presenting complaints include [List of presenting complaints, e.g., irregular menses prior to conception, hirsutism, acne, weight gain, infertility treatments used for conception].  Past medical history is significant for PCOS, diagnosed at [age] based on Rotterdam criteria including [Specific criteria met, e.g., oligo- or anovulation, clinical or biochemical hyperandrogenism, polycystic ovaries on ultrasound].  Current medications include [List current medications, e.g., prenatal vitamins, metformin, progesterone].  Family history is notable for [Relevant family history, e.g., type 2 diabetes, PCOS, gestational diabetes].  Physical examination reveals [Relevant physical exam findings, e.g., BMI, blood pressure, presence of acne or hirsutism, uterine size consistent with gestational age].  Assessment: Pregnancy complicated by PCOS.  Given the increased risk of gestational diabetes, preeclampsia, and preterm labor associated with PCOS in pregnancy, close monitoring is warranted. Plan:  The patient will be closely monitored for gestational diabetes with glucose tolerance testing at [gestational age].  Blood pressure and urine protein will be monitored at each prenatal visit to screen for preeclampsia.  Patient education provided regarding the importance of regular prenatal care, healthy diet, and regular exercise to manage PCOS symptoms and optimize pregnancy outcomes.  Follow-up scheduled in [timeframe].  Differential diagnoses considered included other causes of irregular menses, hyperandrogenism, and infertility.  ICD-10 codes: O24.41, E28.2.  CPT codes for today's visit: [Insert relevant CPT codes, e.g., 99213, 99214].