Patient presents with complaints consistent with premature ventricular contractions (PVCs).  Symptoms reported include palpitations, skipped heartbeats, or a fluttering sensation in the chest.  The patient denies chest pain, shortness of breath, or syncope.  On physical examination, the patient's vital signs are stable with a regular heart rate and rhythm except for occasional isolated premature beats.  An electrocardiogram (ECG or EKG) confirms the presence of frequent premature ventricular complexes (PVCs) with a uniform morphology, suggestive of a benign origin.  The patient's medical history is significant for (list relevant medical history, e.g., hypertension, anxiety).  Current medications include (list current medications).  No family history of sudden cardiac death or significant heart disease is reported.  Assessment: Premature ventricular contractions (PVCs), likely benign.  Differential diagnosis includes other arrhythmias such as ventricular tachycardia.  Plan:  Given the frequency and benign nature of the PVCs, the patient will be reassured and educated about lifestyle modifications, including stress management techniques and caffeine reduction.  No antiarrhythmic medication is indicated at this time.  Follow-up ECG in (timeframe) is recommended to monitor PVC frequency and morphology.  ICD-10 code: I49.3.  Medical billing codes may include 93000 (electrocardiogram), 99213 (office visit - level 3), depending on the complexity of the visit. This documentation supports medical necessity for the diagnostic testing and evaluation performed.