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The American Lung Association provides the following guidance on the use of the Z codes: Z57.31 Occupational exposure to environmental tobacco smoke (may not be used with Z77.22 exposure to environmental smoke) Z77.22 Contact with and suspected exposure to environmental smoke (may not be used with a F17.2 tobacco dependence or Z72 tobacco use code) Z71.6 Counseling and medical advice tobacco abuse counseling Z72.0 Problems related to lifestyle and tobacco use not otherwise specified Z87.891 Personal history of nicotine dependence (may not be used with F17.2 current nicotine dependence code) Z13.89 Encounter for screening for other disorder

Some states had already raised it to 21 on their own

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World No Tobacco Day sheds light on the tactics employed by the tobacco industry to promote tobacco use and undermine public health efforts