Patient presents with symptoms consistent with an upper respiratory infection (URI), likely viral etiology.  Chief complaints include nasal congestion, rhinorrhea, sore throat, and cough.  Onset of symptoms reported as gradual over the past 2-3 days.  Patient denies fever, chills, or shortness of breath.  Physical exam reveals erythematous oropharynx, clear rhinitis, and mild cervical lymphadenopathy.  Lungs are clear to auscultation.  Vital signs are within normal limits.  Assessment: Upper respiratory virus (URV).  Diagnosis is based on clinical presentation and is consistent with common cold symptoms.  Influenza and other specific respiratory pathogens were not suspected based on the absence of high fever, myalgia, and other characteristic findings.  Plan:  Symptomatic treatment is recommended, including rest, fluids, over-the-counter analgesics such as acetaminophen or ibuprofen for pain and fever management if needed, and saline nasal spray for congestion.  Patient education provided regarding viral upper respiratory infections, self-care measures, prevention of transmission, and when to seek further medical attention such as worsening symptoms, development of high fever, or difficulty breathing.  Return to clinic if symptoms persist beyond 7-10 days or worsen.  ICD-10 code J06.9 (Acute upper respiratory infection, unspecified) is appropriate for this encounter.  CPT code 99212 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making.) is likely appropriate for billing purposes, however, the specific CPT code may vary depending on the complexity of the encounter.