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This policy protects the statistical stability of the program's expenditure calculations

The fee schedule would be published quarterly on the CMS website and implemented in the Medicare claims processing systems

For instance, instead of documenting current tobacco user (Z72.0) clinicians might document currently smokes a few cigarettes a week when out with friends. This will not improve code selection, but it may help clinicians and investigators when looking for clues to tobacco-associated illness

Limitations of the study include a small sample size and the retrospective nature of the survey

It was widely practiced before the invention of cigarettes in the early 20 th century