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Still, use of tobacco products, including cigarettes, persists as the leading cause of preventable death and disease, the Centers for Disease Control and Prevention says

Smokeless tobacco is sometimes used in the workplace by employees, especially if the employer does not provide many cigarette breaks or if the employee is consistently using both hands during work (which doesn't provide opportunities for cigarette smoking)

More information is available in the Measure Justification Form available for download at

Mislabeling a dependent smoker as Z72.0 understates acuity and can strip support from cessation-counseling claims

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