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The shift was driven by consumer preference for a longer smoke and by marketing positioning that associated length with quality

The FY2026 tabular places four Excludes1 notes at the F17 category level: history of tobacco dependence (Z87.891), tobacco use NOS (Z72.0), tobacco use during pregnancy/childbirth/puerperium (O99.33-), and toxic effect of nicotine (T65.2-)

Proposed changes to other programmatic areas, including: a proposal in connection with the Shared Savings Program compliance requirements to permit continued participation by ACOs whose number of assigned beneficiaries falls below 5,000 during their agreement period

Often, its because smoking relieves the nicotine withdrawal that occurs between cigarettes