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The granularity introduced in ICD-10-CM (specifying product type, withdrawal status, and remission) means that a single ICD-9 code now expands into five specific ICD-10-CM codes within the F17.21 family

These programs include both detoxification to manage withdrawal symptoms and ongoing therapy to address the psychological aspects of addiction

This is because the federal excise tax is not keeping up with inflation (thanks to successful lobbying by the tobacco companies), and because of worries that increasing taxes will increase the black market and interstate smuggling, as taxes vary by state (and tend to be lower in tobacco producing states, again due to lobbying)

North Carolina is one of only seven states that completely prohibit recreational and medical cannabis