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Cessation-focused visits (CPT 99406/99407): For dedicated tobacco cessation counseling encounters, the principal diagnosis should be either the underlying condition the smoking is impacting (COPD, ischemic heart disease, etc.) or for outpatient counseling visits where no such condition is being addressed a Z-code such as Z71.6 (Tobacco abuse counseling) as the encounter reason, with F17.210 sequenced as a secondary diagnosis to specify the nicotine dependence

GPs see the devastating consequences of smoking every day in our surgeries we see patients facing years of ill health, preventable conditions, and early death because of smoking

Additional suspect cases are under investigation in Liberia and Sierra Leone

The clue turned up during experiments looking for chemicals to treat depression, Picciotto says

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