Patient presents with complaints consistent with premature ventricular contractions (PVCs).  Symptoms reported include palpitations, skipped heartbeats, or a fluttering sensation in the chest.  On physical examination, the patient's vital signs were within normal limits except for an irregularly irregular rhythm noted on auscultation.  An electrocardiogram (ECG or EKG) confirms the diagnosis of ventricular premature beats, demonstrating wide QRS complexes with premature occurrence and compensatory pauses.  The patient denies chest pain, shortness of breath, or dizziness associated with these episodes.  Medical history includes hypertension managed with lisinopril.  No prior history of cardiac disease, myocardial infarction, or heart failure.  Family history is negative for sudden cardiac death.  Laboratory results, including electrolytes, are within normal limits.  The patient's current symptoms are attributed to benign ventricular ectopy.  Treatment plan includes lifestyle modifications such as reducing caffeine and alcohol intake, stress management techniques, and continued monitoring of symptoms.  The patient was educated on the nature of premature ventricular complexes, potential triggers, and when to seek further medical attention.  Follow-up is scheduled in three months to reassess symptoms and ECG findings.  Differential diagnosis included atrial fibrillation, supraventricular tachycardia, and other arrhythmias.  ICD-10 code I49.3, premature ventricular contractions, was assigned.  This encounter addresses ventricular ectopic beats, heart palpitations, cardiac arrhythmia, and ECG interpretation for optimal billing and coding accuracy.