Patient presents with complaints consistent with possible tonsil cancer (tonsillar carcinoma, squamous cell carcinoma of the tonsil).  Symptoms include persistent sore throat, dysphagia (difficulty swallowing), odynophagia (painful swallowing), otalgia (ear pain),  a neck mass or lump,  and halitosis (bad breath).  The patient reports a history of tobacco use (cigarettes and chewing tobacco) and heavy alcohol consumption, both significant risk factors for head and neck cancer.  Physical examination reveals an asymmetric tonsillar enlargement with a visible ulceration on the right tonsil.  The right cervical lymph nodes are palpable and firm.  Differential diagnosis includes tonsillitis, peritonsillar abscess, lymphoma, and other head and neck malignancies.  A biopsy of the right tonsil lesion was performed for histopathological examination.  Preliminary findings suggest squamous cell carcinoma.  Pending confirmatory pathology results and staging workup, including imaging studies (CT scan, MRI, PET scan) to assess the extent of the primary tumor and potential metastasis.  Treatment plan discussions will include options such as radiation therapy, chemotherapy, surgery (tonsillectomy, neck dissection), or a combination thereof, depending on the final staging and the patient's overall health status.  Referral to oncology and otolaryngology has been made.  Patient education provided regarding the diagnosis, treatment options, potential side effects, and the importance of follow-up care.  ICD-10 code C09.9 (Malignant neoplasm of tonsil, unspecified) is provisionally assigned, pending confirmation of histology and staging.  CPT codes for the biopsy and consultations will be documented upon completion of the procedures.