Patient presents with complaints consistent with laryngopharyngeal reflux (LPR), also known as silent reflux.  Symptoms include chronic cough, throat clearing, globus sensation, dysphonia, and postnasal drip.  Patient denies heartburn or regurgitation, which differentiates LPR from typical gastroesophageal reflux disease (GERD).  On examination, posterior laryngeal erythema and edema were observed.  The reflux finding index (RFI) was calculated based on reported symptoms.  Differential diagnoses considered include vocal cord dysfunction, allergic rhinitis, and chronic laryngitis.  Diagnosis of LPR is made based on symptom presentation and clinical findings.  Initial management plan includes lifestyle modifications, such as dietary changes, weight management if applicable, and smoking cessation counseling if indicated.  Patient education regarding avoiding trigger foods and elevating the head of the bed was provided.  Pharmacological therapy with a proton pump inhibitor (PPI) is prescribed for a trial period of eight weeks.  Follow-up appointment is scheduled to assess symptom improvement and adjust treatment as needed.  ICD-10 code K21.9, gastro-esophageal reflux disease without esophagitis, is used for billing purposes, as a specific LPR code is not available.  CPT codes for the evaluation and management (E/M) visit will be selected based on the complexity of the encounter.  The patient was advised to return sooner if symptoms worsen or new symptoms develop.  Patient verbalized understanding of the treatment plan.