ICD-10-CM work item

MediumFY 2027Synthetic · Educational use only

Sore Throat With Test Results

Code from chart · WRK-010

Clinical chart
Signed note

Signed encounter note

DOS · 2026-10-17Assignment · WRK-010Setting · Outpatient physician office

Reason for visit

Same-day evaluation for sore throat and painful swallowing.

Interval history

Symptoms began two days ago, and the patient is able to drink fluids despite throat discomfort. Pain is worse with swallowing and has not improved with warm liquids.

Findings and test results

The pharynx is erythematous without peritonsillar swelling. A rapid group A streptococcal test is positive.

Assessment and plan

Streptococcal pharyngitis. Start the prescribed oral antibiotic. Use fluids, warm salt-water gargles, and an over-the-counter analgesic as needed for throat discomfort.