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The smokers both men and women had significantly higher heart rates while resting and they did not increase as much as expected while exercising

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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

[70] She won the Evening Standard Theatre Award for Best Actress and received her second Laurence Olivier Award nomination for Best Actress

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