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This may be an extension of the recent increase in high school vaping (here), but its important to note that smoking in this age group is way down (here)

subterm idiopathic J84.112 Pneumonitis, interstitial idiopathic nonspecific: J84.113 Pneumonitis organizing (cryptogenic): J84.116 Lymphangioleiomyomatosis: J84.81 Histiocytosis pulmonary Langerhans cell: J84.82 Disease, lung, interstitial with progressive fibrotic phenotype: J84.170 (code first underlying cause) Disease, lung, interstitial in diseases classified elsewhere: J84.178 Sarcoidosis, lung / pulmonary: D86.0 Dependence oxygen: Z99.81 Sclerosis, systemic with lung involvement: M34.81 (Tabular note: code also J99 or J84.17x) Arthritis, rheumatoid lung: M05.10M05.19 (laterality by site of arthritis) Do not index interstitial pneumonia alone to J84.9

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"I've been an off and on smoker since I was 16, said Devin Seymour, a Syracuse University senior