Patient presents with symptoms suggestive of tracheobronchomalacia.  These include chronic cough, dyspnea on exertion, recurrent wheezing, and exercise intolerance.  The patient reports a history of recurrent respiratory infections and may describe a "fluttering" sensation in the chest.  Physical examination may reveal expiratory stridor or wheezing.  Pulmonary function testing (PFT) often demonstrates an expiratory plateau suggestive of airflow obstruction.  Dynamic airway imaging, such as bronchoscopy or dynamic CT scan, is crucial for confirming the diagnosis of tracheobronchomalacia.  The degree of tracheal or bronchial collapse was assessed, and the diagnosis of tracheobronchomalacia was confirmed based on established criteria.  Differential diagnoses considered include asthma, COPD, and vocal cord dysfunction.  Treatment options for tracheobronchomalacia will be discussed with the patient, and may include conservative management with pulmonary rehabilitation, airway clearance techniques, and bronchodilators.  In more severe cases, interventional procedures such as stenting or tracheobronchoplasty may be considered.  Patient education regarding the disease process, management strategies, and potential complications was provided.  Follow-up appointment was scheduled for reassessment and optimization of the treatment plan.  ICD-10 code J98.5 (Tracheomalacia) or J98.6 (Bronchomalacia) may be appropriate.  Medical billing codes will be determined based on the specific procedures and treatments performed.