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In terms of long term effects, epidemiologic studies show there is significantly more cancer among cigarette smokers than cigar smokers, although it is not unheard of for cigar smokers to get cancer

Therefore, we should consider the possibility of these overestimations and underestimations in the evaluation of renal function in smokers

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Z91.51 and Z91.52 are Chapter 21 personal-history codes (Guidelines I.C.21.c.4): they describe a past condition no longer under active treatment that retains recurrence risk, and they are acceptable on any medical record regardless of the reason for visit. They are additional diagnoses, never first-listed for a treatment encounter