A patient presents to the office complaining of lower abdominal pain and burning urination.

In the outpatient setting, uncertain diagnoses described with terms such as “likely,” “probable,” “suspected,” or “rule out” generally arenotreported as established conditions for coding purposes. Instead, the encounter is coded to theconfirmed signs and symptomsdocumented and evaluated at that visit. Here, the provider’s assessment is “likely UTI,” with urine culture results still pending, so a definitive UTI diagnosis is not yet confirmed within the scenario. Likewise, the organism (E. coli) cannot be coded because it is only suspected and not confirmed until culture results are finalized. Outpatient CDI emphasizes aligning reportable diagnoses to what is clearly supported as present and addressed during the visit. The note explicitly identifies pain, urinary frequency, and fever—symptoms that drove evaluation and treatment (antipyretics and antibiotic initiation). Between the answer choices, “abdominal pain, fever, and urinary frequency” best represents the reportable conditions based on documented, evaluated symptoms without coding an uncertain infection diagnosis or an unconfirmed causative organism.