Patient presents with complaints consistent with nasal obstruction, difficulty breathing through the nose, and occasional nasal congestion.  Symptoms may be unilateral or bilateral.  Patient reports a history of nasal trauma or may deny any history of injury.  On physical examination, anterior rhinoscopy reveals a deviated nasal septum, with the septum deviated towards the (rightleft) side of the nasal cavity.  The deviation may be C-shaped, S-shaped, or a combination of both, causing significant narrowing of the nasal airway.  Mucosal edema may be present.  The diagnosis of deviated septum is confirmed.  Differential diagnoses considered include nasal polyps, turbinate hypertrophy, and sinusitis.  Treatment options discussed include conservative management with nasal saline irrigation, decongestants, and intranasal corticosteroids.  Surgical intervention, specifically septoplasty, or septorhinoplasty if combined with cosmetic concerns, may be considered if conservative measures fail to provide adequate symptom relief.  Patient education provided on the nature of the condition, treatment options, risks, and benefits.  Follow-up scheduled in ( timeframe ) to assess response to treatment and discuss further management as needed.  ICD-10 code J34.2, deviated nasal septum, is assigned.  CPT codes for potential procedures discussed, including 30520 for septoplasty and 30420 for septorhinoplasty, will be determined at the time of surgical planning if necessary.  Medical necessity for surgical intervention will be documented if pursued.