Patient presents with complaints consistent with a ventral hernia.  Symptoms include a visible or palpable bulge in the abdominal wall, potentially accompanied by discomfort, pain, or a dragging sensation.  The ventral hernia location was noted (e.g., epigastric, umbilical, incisional, spigelian).  The size of the hernia defect was estimated (e.g., reducible, incarcerated, strangulated).  Associated symptoms such as nausea, vomiting, abdominal distension, or changes in bowel habits were documented, if present.  Past surgical history, including prior abdominal surgeries and any history of hernia repair, was reviewed.  Physical examination revealed a palpable defect in the abdominal wall musculature.  The hernia sac contents were assessed for reducibility.  Differential diagnoses considered include lipoma, hematoma, seroma, and abdominal wall abscess.  Surgical consultation may be warranted depending on the size, location, and symptoms associated with the ventral hernia.  Treatment options such as watchful waiting, hernia repair surgery (e.g., open hernia repair, laparoscopic hernia repair), and use of mesh reinforcement were discussed with the patient.  Patient education provided regarding hernia risks, complications (e.g., incarceration, strangulation), and post-operative care.  Follow-up appointment scheduled for reassessment and further management as needed.  ICD-10 code K43.9 for ventral hernia without obstruction or gangrene, or other appropriate ICD-10 code based on specific presentation, will be used for billing and coding purposes.  CPT codes for relevant procedures, such as hernia repair, will be determined based on the chosen treatment approach.