Patient presents with symptoms suggestive of thickened bladder wall, including [list presenting symptoms e.g., urinary frequency, urgency, nocturia, dysuria, incomplete emptying, pelvic pain, hematuria].  Physical examination revealed [relevant findings e.g., suprapubic tenderness, palpable bladder distension].  Differential diagnosis includes bladder outlet obstruction, benign prostatic hyperplasia in males, neurogenic bladder, interstitial cystitis, bladder cancer, and urinary tract infections.  Ultrasound examination of the bladder demonstrates a thickened bladder wall measuring [measurement in mm], with [description of bladder wall characteristics e.g., trabeculation, diverticula].  Urinalysis results show [urinalysis findings e.g., presence or absence of infection, hematuria].  Based on clinical presentation, imaging findings, and laboratory results, the diagnosis of thickened bladder wall is considered.  Further investigation with [mention further tests if needed e.g., cystoscopy, biopsy] is recommended to determine the underlying etiology and guide appropriate management.  Treatment plan includes [mention treatment plan based on suspected etiology e.g., medication for infection, alpha-blockers for BPH, referral to urology for further evaluation].  Patient education provided on bladder health, including fluid management, pelvic floor exercises, and follow-up care.  ICD-10 code [relevant ICD-10 code e.g., N32.89 for other specified disorders of bladder] and CPT code[s] [relevant CPT codes for procedures performed e.g., 76770 for ultrasound of bladder] documented for billing purposes.  Follow-up scheduled in [duration] to assess treatment response and discuss further management options.