The respiratory physician should consider all the pathways available to a smoking patient and select the ones that give the greatest probability of eliminating exposure to tobacco smoking
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If the medical record doesn't clearly support medical necessity, demonstrate the provider's clinical reasoning, or establish a clear link between the diagnosis and the services performed, the payer may deny the claim
On the other hand, nicotine replacement therapies (NRTs) like nicotine skin patches, gum, and lozenges are a less harmful way to use nicotine (5, 9)