Patient presents with complaints consistent with oropharyngeal dysphagia. Symptoms include difficulty initiating swallowing, coughing or choking while swallowing, sensation of food sticking in the throat, nasal regurgitation, and repeated pneumonia.  Onset of symptoms is reported as [gradual/sudden] and has been present for [duration].  Contributing factors may include [neurological conditions such as stroke, Parkinson's disease, multiple sclerosis; muscular dystrophy; head and neck cancer;  structural abnormalities;  iatrogenic causes such as radiation therapy or medication side effects; or aging].  Clinical evaluation included a bedside swallow evaluation revealing [specific findings such as delayed swallow initiation, reduced hyolaryngeal excursion, weak cough, or aspiration].  Instrumental assessment via [modified barium swallow study or fiberoptic endoscopic evaluation of swallowing FEES] demonstrated [specific findings e.g., penetration, aspiration, residue].  Diagnosis of oropharyngeal dysphagia is confirmed.  Plan includes referral to [speech-language pathologist, dietitian, otolaryngologist, neurologist, or gastroenterologist as appropriate].  Recommendations for dysphagia management include [compensatory strategies such as postural adjustments, modified diet textures including thickened liquids and pureed foods, swallowing exercises, and oropharyngeal strengthening exercises].  Patient education provided on safe swallowing techniques and aspiration precautions.  Follow up scheduled in [timeframe] to assess treatment efficacy and adjust plan as needed.  ICD-10 code [R13.10, R13.11, R13.12, R13.19 as appropriate] assigned.  CPT codes for evaluation and treatment will be based on specific procedures performed, such as 92526, 92610, 92611, 92612, 92613, 92614, 92615, 92616, and 92617.