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There are trace components of tobacco-specific nitrosamines and things that are harmful, but it's still much, much lower than chewing tobacco, for example

The ICD-10 codes for hypertensive diseases include: I10 : Essential (primary) hypertension I11 : Hypertensive heart disease I12 : Hypertensive chronic kidney disease I13 : Hypertensive heart and chronic kidney disease I15 : Secondary hypertension I16 : Hypertensive crisis I1A : Other hypertension I1A.0 : Resistant hypertension I16.1 : Hypertensive emergency Physicians need to provide a clear clinical picture of the patients condition for accurate coding

E., Gilbert, S