Patient presents with complaints consistent with a right inguinal hernia.  Symptoms include groin pain, a bulge in the right inguinal region, and occasional discomfort with lifting or straining.  On physical examination, a palpable bulge is noted in the right groin, which increases in size with Valsalva maneuver.  The hernia is reducible.  Differential diagnosis includes inguinal lymphadenopathy, femoral hernia, and testicular torsion.  Diagnosis of right inguinal hernia is made based on clinical findings.  Plan includes discussion of surgical repair options, including laparoscopic hernia repair and open hernia repair.  Patient education provided regarding hernia symptoms, complications such as incarceration and strangulation, and the benefits and risks of surgical intervention.  Risks of non-operative management were also discussed.  Patient will follow up for further evaluation and scheduling of potential surgical intervention.  ICD-10 code K40.90 will be used for right inguinal hernia without obstruction or gangrene.  CPT codes for potential surgical repair will be determined based on the chosen surgical approach, for instance 49505 for laparoscopic repair or 49507 for open anterior repair with mesh.  Medical necessity for surgical intervention will be documented based on patient symptoms and clinical findings.