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Dr Nicholas Hopkinson, from the National Heart and Lung Institute at Imperial, said: Smokers in the developed world are literally and metaphorically burning the resources of poorer countries. A lifelong impact The report also calculates the environmental impact of a single smoker over their lifetime: a person smoking a pack of 20 cigarettes per day for 50 years is responsible for 1.4 million litres of water depletion

The risk adjustment codes are: HCC111 Chronic Obstructive Pulmonary Disease (CMS-HCC V24) HCC280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders (CMS-HCC V28) Code first, if applicable, conditions such as lung transplant rejections

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