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Because nicotine pouches dont have tobacco, they may be safer than snus and other smokeless tobacco products, which can cause: Cancers of the mouth, throat, and pancreas Gum disease Tooth loss Cavities and stained teeth Higher chances of heart disease and stroke Does Zyn cause gum disease

Attempting to capture both under a single F15.20 code misrepresents the clinical encounter and violates ICD-10-CM Official Guidelines for Coding and Reporting maintained by the National Center for Health Statistics (NCHS) and CMS

Nebraska In 2008, the Nebraska Clean Indoor Air Act was instituted to regulate smoking within the state in public places and places of employment

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Lessons learned Theres a difference between being asked to do free work and agreeing to work pro bono

Allem JP, Dharmapuri L, Leventhal AM, Unger JB, Boley CT