Patient presents with signs and symptoms consistent with fluid overload, clinically significant for volume overload.  Assessment reveals edema, specifically peripheral edema and potentially pulmonary edema depending on severity.  The patient exhibits dyspnea, orthopnea, and possible paroxysmal nocturnal dyspnea.  Jugular venous distension may be present.  Auscultation of the lungs may reveal crackles or rales.  The patient reports weight gain and may complain of shortness of breath.  Relevant laboratory findings may include decreased hematocrit and hyponatremia.  Underlying conditions contributing to the volume overload, such as congestive heart failure, renal failure, or liver disease, should be investigated and documented.  Treatment for volume overload focuses on diuresis with loop diuretics such as furosemide, fluid restriction, and addressing the underlying cause. Patient education regarding fluid management and sodium restriction is crucial.  Monitoring of intake and output, daily weights, and respiratory status is essential.  The patient's response to treatment will be closely monitored and documented.  Further diagnostic testing, such as chest x-ray or echocardiogram, may be indicated depending on the clinical picture.  This fluid overload diagnosis impacts medical billing and coding using specific ICD-10 codes depending on the etiology and associated conditions, influencing reimbursement and healthcare resource utilization.