though you could list a ton of problems and if it falls under your purview or domain and you are actively managing it (even if it's just assessing a labwork, tweaking a med, something basic seeming to a doctor) even to a little degree, then it could work. I know that's what I do.
my default template has
1) what the eventual diagnosis is
2) Dyspnea - which postulates on non-pulmonary etiologies of dyspnea
3) Cough - which postulates on non-pulmonary etiologies of cough
4) Nonspecific findings of lung imaging - which mentinos that 2mm granuloma seen incidentally is no big dea
5) Snoring / OSA - comment on the possibiltiy of OSA and epworth score and whether i am ordering sleep study or not
6) encounter for immunization - reviewed their immunizations for Tdap (pertussis relevant to lungs), pneumococcal, influenza, COVID, and RSV vaccines. if PCP is not able to get this done, I will get this done for the patient (though I give professional courtesy for that 90471 to the PCP first and foremost)
7) encounter for screening for malignant neoplasm of lungs - discuss if they meet LDCt screening criteria
8) encounter for prophylaxis - this is less used but if its patients on immunosuppression and usually has to do with PCP prophylaxis need
9) GERD - if relevant - as this drives me nuts as a chronic cough etiology . I do actively manage patients GERD if they have chronic cough though
but no I am not mentioning their DM or HTN unless I am tweaking those meds. I cannot really justify and say "yeah they have OSA. they have DM too so I will code that."
Boom level 4 at least right there. the insurances have not given me any pushback
most of these are not things I am "waxing poetic about" in front of the patient. but it is something I thought about and wrote it down and planned for contingencies