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Nicotine is the primary addictive substance in both traditional cigarettes and e-cigarettes, and can lead to cravings and withdrawal symptoms

positive screening results to HIV, hepatitis B surface antigen or hepatitis C virus tests

It would be like documenting a level 5 E&M code, but because the patient isnt ready to have a high-risk surgery, telling the physician you have to downcode your E&M, based on the patients readiness for surgery