Patient presents for elective vasectomy.  Medical history reviewed, including discussion of contraceptive options, permanence of the procedure, and potential complications such as bleeding, infection, and post-vasectomy pain syndrome.  Patient confirms understanding of the risks and benefits and provides informed consent.  Physical examination reveals normal male genitalia; testes are descended, non-tender, and without masses.  No evidence of inguinal hernia or other abnormalities.  Procedure explained as bilateral vasectomy, with options for no-scalpel vasectomy versus traditional incisional approach discussed.  Patient opted for (specify no-scalpel or traditional approach).  The procedure was performed under local anesthesia (specify anesthetic agent and dosage).  Intraoperative findings consistent with normal anatomy.  Vas deferens bilaterally identified, isolated, and (specify occlusion method: ligation and excision, cauterization, or clips).  Hemostasis achieved.  Wound(s) closed with (specify suture material or steri-strips).  Patient tolerated the procedure well.  Post-operative instructions provided, including wound care, pain management with (specify pain medication), and follow-up semen analysis to confirm azoospermia.  Patient advised to abstain from sexual activity until cleared by physician following confirmatory semen analysis.  Diagnosis:  Vasectomy.  CPT code:  (specify appropriate CPT code based on procedure performed, e.g., 55250, 55250-52).  ICD-10 code:  Z30.2.  Keywords:  Vasectomy, male sterilization, contraception, no-scalpel vasectomy, post-vasectomy pain syndrome, sperm count, azoospermia, semen analysis, ligation, cauterization, surgical clips, local anesthesia, informed consent, complications, bleeding, infection, hematoma, family planning, male reproductive health.