Patient presents for postoperative follow-up status post splenectomy.  The indication for splenectomy was [Specify indication e.g.,  traumatic splenic rupture, immune thrombocytopenic purpura (ITP), hereditary spherocytosis, hypersplenism, lymphoma].  Preoperative evaluation included [Specify evaluations e.g., complete blood count (CBC) with differential, peripheral blood smear, computed tomography (CT) scan of the abdomen and pelvis, coagulation studies].  The patient underwent [Specify surgical approach e.g., laparoscopic splenectomy, open splenectomy] on [Date of surgery].  Intraoperative findings included [Describe intraoperative findings e.g.,  a large spleen measuring [dimensions], hemoperitoneum, accessory spleen].  Postoperative course was [Describe postoperative course e.g., complicated by, uncomplicated].  The patient is currently [Describe current status e.g.,  asymptomatic, experiencing mild pain controlled with analgesics].  Physical examination reveals [Describe relevant physical exam findings e.g.,  a well-healing abdominal incision, normal bowel sounds, no palpable masses].  Current medications include [List current medications e.g.,  analgesics, prophylactic antibiotics, vaccinations against encapsulated organisms (pneumococcal, meningococcal, Haemophilus influenzae type b)].  Patient education was provided regarding the risks of post-splenectomy sepsis and the importance of vaccination compliance.  The patient was advised to seek immediate medical attention for any signs or symptoms of infection, such as fever, chills, or malaise.  Follow-up is scheduled in [Duration] to monitor recovery and assess for any complications.  ICD-10 code [Specify appropriate ICD-10 code e.g.,  D73.50, D73.51, S36.012A] applies. CPT code for the procedure was [Specify appropriate CPT code e.g., 38100, 38101, 38102].