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If the patient presents with an acute exacerbation of their COPD and chronic bronchitis, then report J44.1 and a code for chronic bronchitis (J42) Do not Code Symptoms explained by a Confirmed Diagnosis According to ICD-10-CM coding guidelines, symptoms should not be reported when they are attributed to a confirmed condition

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Lack of Anti-Smoking Efforts in Japan Japan lags behind over countries in anti-smoking campaigns.The government didn't officially acknowledge there were health risks with smoking until 1987 and that was only after the anti-smoking lobby persuaded the World Health Organization to sponsor a global tobacco conference in Tokyo

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