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The reasoning is that emphysema is a more specific form of COPD, so you dont need an additional code to represent unspecified COPD (aapc.com/blog)
Because FDA did not at that time have jurisdiction over cigars, cigar manufacturers took advantage of this loophole and began to heavily market and promote flavored cigar products, potentially contributing to the observed increase in use among youth
J., Hodder, R., Silva, P
Tobacco products are derived from the leaves of plants in the genus Nicotiana and are inhaled in the form of pipes, cigars, and cigarettes
