Patient presents with complaints consistent with a swallowing disorder, also known as dysphagia.  Symptoms include difficulty swallowing solids or liquids, odynophagia, choking or coughing while eating, sensation of food sticking in the throat or chest, frequent heartburn, regurgitation, and unintended weight loss.  Clinical evaluation revealed signs of oropharyngeal dysphagia or esophageal dysphagia.  A bedside swallow evaluation was performed, assessing oral motor skills, pharyngeal phase, and signs of aspiration.  Instrumental assessment via videofluoroscopic swallow study VFSS or fiberoptic endoscopic evaluation of swallowing FEES may be indicated to further characterize the swallowing disorder and identify specific physiological impairments.  Differential diagnoses considered include achalasia, esophageal stricture, gastroesophageal reflux disease GERD, Zenker's diverticulum, and neurological conditions impacting swallowing function.  Preliminary diagnosis of oropharyngeal dysphagia secondary to suspected neurological etiology is made, pending results of further diagnostic testing.  The patient's swallowing difficulties pose a risk for aspiration pneumonia, malnutrition, and dehydration.  Initial treatment plan includes dietary modifications with thickened liquids and pureed foods, compensatory swallowing strategies such as the chin tuck maneuver and Mendelsohn maneuver, and referral to a speech-language pathologist for swallowing therapy.  Patient education provided regarding aspiration precautions and the importance of adherence to the recommended diet and therapy plan.  Follow-up scheduled to review test results and reassess swallowing function.  ICD-10 code R13.10 Dysphagia, unspecified, is used for billing and coding purposes. CPT codes for the evaluation and treatment will be determined based on the specific procedures performed.