Patient presents with abnormal uterine bleeding, including menorrhagia, metrorrhagia, or postmenopausal bleeding.  Evaluation for endometrial thickening was prompted by symptoms andor imaging findings such as pelvic ultrasound demonstrating increased endometrial thickness.  Transvaginal ultrasound revealed an endometrial stripe measuring  X mm.  Differential diagnosis includes endometrial hyperplasia, endometrial polyps, endometrial cancer, and hormonal imbalances.  Patient's age, menopausal status, and relevant medical history, including hormone replacement therapy use, were considered.  Risk factors for endometrial cancer, such as obesity, diabetes, and family history of Lynch syndrome, were assessed.  A plan for endometrial biopsy or dilation and curettage (DandC) is recommended to obtain tissue for histopathological evaluation and definitive diagnosis.  Patient education regarding the procedure, risks, and benefits was provided.  Follow-up appointment scheduled to discuss pathology results and determine appropriate management based on the final diagnosis.  Medical coding may include ICD-10 codes N76.0, N76.2 depending on the underlying cause.  This documentation supports medical necessity for the procedures performed and facilitates accurate medical billing.