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The state is, by far, the nations top tobacco producer, harvesting 181,900 acres in 2013, according to the N.C

Z87.891 Inclusion Terms and Synonyms The ICD-10-CM tabular list includes the following inclusion terms for Z87.891, which coders may encounter in physician documentation: Personal history of nicotine dependence Former smoker Ex-smoker History of tobacco use (where dependence criteria were previously met) Former smokeless tobacco user (chew, snuff) Former e-cigarette user with prior dependence These inclusion terms mean the code captures any tobacco delivery system where the patient previously had dependence not just cigarettes

Over time, increased tobacco imports saw prices coming down and shops competed to sell it

That migration of the nicotine market toward far safer products can be accelerated or obstructed by choices made about law, policy, regulation, taxation, communication, and professional practice