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Based on what is now known about vaping or e-cigarette-related health conditions, the update contains official diagnosis coding guidance for encounters related to e-cigarette or vaping product use associated lung injury (EVALI)

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Until the FDA issues guidance or regulations on what constitutes an FDA approved training program, the FDA indicates the agency intends to use a lower maximum civil money penalties schedule for all retailers who violate the regulations restricting the sale and distribution of cigarettes and smokeless tobacco products, whether or not they have implemented a training program

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This reinforcement mechanism reinforces the addictive cycle of tobacco use