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If the patient presents with an acute exacerbation of their COPD and chronic bronchitis, then report J44.1 and a code for chronic bronchitis (J42) Do not Code Symptoms explained by a Confirmed Diagnosis According to ICD-10-CM coding guidelines, symptoms should not be reported when they are attributed to a confirmed condition

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"Flavour chemicals in electronic cigarette fluids"

This highlights the need for clinicians to familiarize themselves with different e-cigarette products and their nicotine content, as well as the need for further investigation into whether higher doses of NRT are necessary in these patients