Patient presents with urinary incontinence, experiencing involuntary leakage of urine.  The patient reports experiencing urinary leakage frequency and severity impacting their quality of life.  Onset of symptoms is reported as gradual over the past six months.  The patient denies dysuria, hematuria, and fever.  Physical examination reveals no abnormalities.  Assessment includes stress incontinence as a differential diagnosis, considering symptoms worsen with coughing and sneezing.  Overactive bladder is also considered due to reported urgency and frequency.  Urge incontinence and mixed incontinence are also included in the differential.  Plan includes further evaluation with a voiding diary, post-void residual measurement, and urodynamic testing to determine the type and severity of incontinence.  Patient education provided on pelvic floor exercises, bladder training techniques, and lifestyle modifications including fluid management and weight loss.  Follow-up scheduled in four weeks to review test results and discuss treatment options which may include medication management, behavioral therapies, or surgical intervention depending on the diagnosis and severity of the incontinence.  ICD-10 code for urinary incontinence (e.g., N89.3, R32) will be determined based on diagnostic findings.  Medical billing codes for evaluation and management services will be selected based on the complexity of the visit.  Patient agrees with the plan and demonstrates understanding of the instructions.