Patient presents with complaints consistent with laryngeal squamous cell carcinoma (LSCC).  Symptoms include persistent hoarseness, dysphagia, odynophagia, throat pain, referred otalgia, and a neck mass.  Patient reports a history of tobacco use (number of pack-years documented) and alcohol consumption.  Physical examination reveals  (describe findings, e.g., palpable cervical lymphadenopathy, vocal fold lesion visualized on indirect laryngoscopy).  Differential diagnoses include laryngitis, vocal cord nodules, Reinke's edema, and other head and neck malignancies.  Impression is concerning for laryngeal cancer.  Ordered a CT scan of the neck with contrast and a panendoscopy with biopsy for definitive diagnosis.  Preoperative evaluation including pulmonary function tests and electrocardiogram scheduled.  Discussed treatment options including surgery (laryngectomy, cordectomy), radiation therapy, chemotherapy, and targeted therapy.  Patient education provided regarding laryngeal cancer staging (TNM classification), prognosis, potential complications, and rehabilitation (speech therapy, swallowing therapy).  Referral to otolaryngology-head and neck surgery and oncology for further management.  ICD-10 code C32.  CPT codes for evaluation and management, imaging, and procedures will be documented upon completion.  Plan to discuss treatment options and next steps after biopsy results are available.