Patient presents with complaints suggestive of premature ventricular complexes (PVCs).  Symptoms reported include palpitations, skipped beats, or a fluttering sensation in the chest.  On physical examination, the patient's vital signs were stable.  Cardiac auscultation revealed occasional irregular heartbeats consistent with premature ventricular contractions.  A 12-lead electrocardiogram (ECG, EKG) confirmed the diagnosis of premature ventricular complex, demonstrating characteristic wide QRS complexes with abnormal morphology and compensatory pauses.  The patient denies chest pain, shortness of breath, or syncope.  Medical history includes hypertension well-controlled with medication.  Family history is significant for coronary artery disease.  The patient's current medications include lisinopril.  Assessment: Premature ventricular contractions, likely benign.  Plan:  Given the patient's stable presentation and asymptomatic nature of the PVCs, no specific treatment is indicated at this time.  Lifestyle modifications, including stress reduction techniques and avoidance of caffeine and nicotine, are recommended.  Patient education regarding the benign nature of infrequent PVCs was provided.  Follow-up with primary care physician is recommended for ongoing monitoring.  Differential diagnoses considered included atrial fibrillation, supraventricular tachycardia, and ventricular tachycardia.  ICD-10 code I49.3 assigned.  Medical billing codes may include 93000 for EKG, 99213 for an established patient office visit, and appropriate codes for patient education.