Patient presents for intrauterine device removal.  Reason for removal includes desired pregnancy, IUD expiration, abnormal uterine bleeding, pelvic pain, or patient request.  Patient denies fever, chills, or malodorous vaginal discharge.  Relevant medical history includes date of IUD insertion, type of IUD (e.g., copper IUD, levonorgestrel IUD, hormonal IUD), and any prior complications related to the IUD.  Pelvic examination reveals a normal cervix and uterus.  The IUD strings were visualized and the device was removed without difficulty using gentle traction.  Patient tolerated the procedure well.  Post-removal instructions regarding contraception, potential side effects such as spotting or cramping, and signs of infection were provided.  Patient was advised to follow up if she experiences heavy bleeding, severe pain, fever, or foul-smelling discharge.  Plan includes consideration for alternative contraception methods if desired.  Relevant billing and coding terms include IUD removal procedure code, office visit code, and diagnosis code for contraceptive management.