Patient presents with complaints suggestive of prolactinemia, including galactorrhea, amenorrhea, oligomenorrhea, infertility, decreased libido, andor erectile dysfunction.  Onset and duration of symptoms were documented.  Past medical history, surgical history, family history, and medication history, including the use of dopamine antagonists, antipsychotics, antidepressants, and antihypertensives, were reviewed for potential contributing factors.  Physical examination findings were noted, including the presence or absence of galactorrhea and assessment of visual fields.  Laboratory results confirmed elevated prolactin levels.  Differential diagnoses considered included pituitary adenoma, hypothyroidism, polycystic ovary syndrome, medications, and other causes of hyperprolactinemia.  A pregnancy test was performed if applicable.  Brain MRI with pituitary protocol was ordered or is planned to evaluate for pituitary adenoma or other structural abnormalities.  The patient was counseled on the potential causes of hyperprolactinemia, treatment options, and the importance of follow-up.  Initial management may include dopamine agonist therapy such as cabergoline or bromocriptine, with dosage and frequency documented.  Patient education regarding medication side effects, monitoring, and potential complications was provided.  Follow-up appointments were scheduled to monitor prolactin levels, assess treatment response, and adjust management as needed.  ICD-10 code E22.1 (Hyperprolactinemia) is documented for billing and coding purposes.  CPT codes for laboratory tests, imaging studies, and office visits are documented as appropriate.