Patient presents with complaints consistent with swallowed foreign body ingestion.  Symptoms include dysphagia, odynophagia, throat pain, chest pain, and sensation of a lump in the throat.  Onset of symptoms occurred approximately [timeframe] after ingesting [description of foreign body, if known, e.g., a fish bone, small toy part, coin].  Patient denies respiratory distress, although some coughing was noted initially.  Physical examination reveals [positive or negative findings, e.g., tenderness in the cervical region, localized edema, palpable mass].  Anterior neck soft tissues are [description, e.g., supple, without crepitus].  Airway is patent.  Vital signs are stable with heart rate [value] bpm, respiratory rate [value] breaths per minute, blood pressure [value], and oxygen saturation [value] on room air.  Differential diagnosis includes esophageal perforation, esophageal food bolus impaction, and GERD.  Imaging studies, such as a plain film X-ray of the neck and chest or CT scan of the neck, chest, and abdomen, are ordered to confirm the presence, location, and nature of the foreign body.  Treatment plan includes [options such as endoscopic removal, observation with serial X-rays, surgical consultation if indicated].  Patient education provided regarding potential complications, such as esophageal perforation or airway obstruction, and instructions for follow-up care.  ICD-10 code T18.1XXA, foreign body in esophagus, initial encounter, is assigned.  CPT codes will be determined based on the procedures performed.  The patient’s condition and treatment plan will be closely monitored.