Patient presents with complaints of word finding difficulty, also described as anomia or lexical retrieval difficulty.  This manifests as frequent pauses, circumlocutions, and use of nonspecific terms like "thing" or "stuff" during conversation.  Onset is reported as gradual and patient denies any associated neurological events such as stroke or head trauma.  Assessment reveals intact comprehension and fluency, but difficulty with confrontation naming tasks.  Differential diagnosis includes aphasia, cognitive impairment, and anxiety.  However, the isolated nature of the word finding difficulty, absence of other language deficits, and lack of cognitive decline suggest primary word finding difficulty.  Plan includes speech language therapy focusing on lexical retrieval strategies, compensatory communication techniques, and monitoring for progression or changes in symptoms.  ICD-10 code R48.82 (Other symbolic dysfunctions) is considered, with further evaluation to rule out other contributing factors.  Patient education provided regarding the nature of word finding difficulties, expected course, and management strategies.  Follow-up scheduled to assess response to therapy and adjust treatment plan as needed.  This condition impacts functional communication and quality of life, necessitating appropriate interventions and support. Keywords: Word finding difficulty, anomia, lexical retrieval, speech therapy, language impairment, communication disorder, cognitive function, ICD-10 R48.82, medical billing, healthcare documentation, EHR, diagnostic criteria, treatment plan.