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Both proposals face several more votes

Think of R91.8 as "specified-but-not-fitting-other-categories" while R91.9 is "we literally have no idea what this is." In practical coding, when you need an ICD 10 code for lung nodule unspecified because documentation doesn't clarify solitary versus multiple, default to R91.8 rather than falling back to R91.9

It is NOT wrapper grade and will not yield Fronto-quality leaves

Although there is virtually no difference between synthetic and natural nicotine products, they may fall under different regulations

Pipe tobacco blends are often carefully flavored or aromatic