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If the patient presents with an acute exacerbation of their COPD and chronic bronchitis, then report J44.1 and a code for chronic bronchitis (J42) Do not Code Symptoms explained by a Confirmed Diagnosis According to ICD-10-CM coding guidelines, symptoms should not be reported when they are attributed to a confirmed condition

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Editor's note: This story originally stated that Washington was poised to become the ninth U.S

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[208] Stacia Glenn, "7-Inland Empire Tax Stamp Counterfeiters Convicted As Part of Cigarette Smuggling Ring," Inland Valley (CA) Daily Bulletin , October 1, 2008, [209] Department of Homeland Security News Release, "Department of Homeland Security Dismantles Massive Cigarette Smuggling Enterprise," January 28, 2004, 1