Patient presents with chief complaint of scrotal swelling.  Onset of swelling noted (duration).  Associated symptoms may include pain, tenderness, redness, warmth, itching, dysuria, fever, nausea, vomiting, or change in testicular size or consistency.  Location of swelling is (e.g., unilateral right, unilateral left, bilateral, generalized).  Patient denies (or reports) recent trauma, sexual activity, or known exposure to sexually transmitted infections.  Physical examination reveals (size, shape, consistency, and location of swelling).  Transillumination (positive or negative).  Palpation reveals (tenderness, masses, or fluctuance).  Differential diagnosis includes hydrocele, epididymitis, orchitis, testicular torsion, inguinal hernia, varicocele, hematocele, and Fournier's gangrene.  Assessment of cremasteric reflex (present or absent).  Medical history includes (relevant past medical and surgical history).  Medications include (list current medications).  Allergies include (list allergies).  Plan includes (e.g., scrotal ultrasound, urinalysis, STI testing, surgical consultation, pain management with ibuprofen or other analgesics, antibiotics if infection suspected, ice packs, scrotal support).  Patient education provided regarding potential causes of scrotal swelling, treatment options, and when to seek immediate medical attention.  Follow-up scheduled for (date and time).  ICD-10 code (e.g., N49.8, other specified disorders of male genital organs, or more specific code depending on the underlying cause).  CPT codes for procedures performed will be documented separately.