Patient presents with an umbilical hernia, characterized by a protrusion of abdominal contents through a defect in the umbilical ring.  Examination reveals a palpable bulge at the umbilicus, evident with increased intra-abdominal pressure such as coughing or straining.  Hernia size is documented as [diameter in centimeters].  The hernia is [reducible, incarcerated, or strangulated].  Overlying skin is [intact, erythematous, or discolored].  Patient reports [asymptomatic, pain, discomfort, or other associated symptoms].  Differential diagnosis includes umbilical granuloma, diastasis recti, and lipoma.  Assessment considers reducibility, presence of complications such as incarceration or strangulation, and patient age.  Plan includes [observation, surgical repair, elective surgery consultation, or hernia support].  Patient education provided regarding hernia risks, complications, and management.  Follow-up scheduled for [date or time frame].  ICD-10 code K42.9 is considered.  CPT codes for potential procedures include 49580, 49585, or 49650 depending on the surgical approach and complexity if performed.  Medical necessity for any intervention will be documented.