Patient presents with complaints consistent with rosacea.  Symptoms include facial erythema, specifically involving the cheeks, nose, and forehead.  The patient reports experiencing flushing and blushing, with triggers including sun exposure, alcohol consumption, and spicy foods.  Physical examination reveals telangiectasia and papules, though no pustules or nodules were observed at this time.  The patient denies any ocular symptoms.  Differential diagnoses considered included acne vulgaris, seborrheic dermatitis, and perioral dermatitis.  Based on the clinical presentation and patient history, a diagnosis of erythematotelangiectatic rosacea subtype 1 is made.  Patient education was provided regarding trigger avoidance, sun protection, and gentle skin care.  Initial treatment plan includes topical metronidazole gel 1 twice daily.  Follow-up appointment scheduled in four weeks to assess treatment response and adjust management as needed.  ICD-10 code L71.9 Rosacea, unspecified is assigned.  Medical billing codes for the evaluation and management visit and topical medication will be applied as appropriate.