Patient presents with a colostomy, surgically created opening in the abdominal wall for the passage of stool.  Assessment reveals a viable, functioning colostomy.  Location of the colostomy is documented as (specify location: ascending, transverse, descending, sigmoid) colon.  The stoma appears (describe appearance: healthy pink, beefy red, dusky, pale) and (describe characteristics: moist, dry, retracted, prolapsed).  Peristomal skin is assessed and documented as (describe condition: intact, excoriated, erythematous, macerated).  Patient reports (describe patient's subjective experience: comfort level, pain, concerns regarding colostomy care).  Colostomy output is characterized as (describe consistency, color, and amount: formed, semi-formed, liquid, brown, green, yellow).  Patient education provided regarding colostomy care, including appliance selection and application, skin protection, irrigation techniques (if applicable), dietary considerations, and potential complications such as dehydration, obstruction, and infection.  Patient demonstrates understanding of colostomy management.  Follow-up appointment scheduled for (date) to monitor healing and provide ongoing support and education.  Plan includes referral to ostomy nurse for specialized care and support.  Diagnosis: Presence of colostomy.  ICD-10 code: (specify appropriate ICD-10 code based on type and reason for colostomy, e.g., K91.4, Z93.3).  CPT codes for procedures performed, if applicable (e.g., appliance change, irrigation training): (specify appropriate CPT codes).