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A key operational rule confirmed by the American Dental Associations CDT and ICD-10-CM Coding Recommendations (2023): when only Z87.891 is documented meaning tobacco history exists but is no longer clinically active tobacco counseling services such as CPT 99406 or 99407 are not indicated

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I have to tear a portion of it apart to get the right amount in my mouth and it stays together like a ball in my mouth

EG-R: Writing original draft