Date Published

March 13, 2023

Updated For

ALS PCS Version ALS PCS Version 5.2


Does Vaping or marijuana use count towards the 20 pack-year history of smoking.


No. Although these activities likely contribute to lung damage and suspect that in the setting of a patient experiencing bronchoconstriction symptoms, there is an element of pulmonary injury. However, in order to meet the Condition of 20 pack-year history of smoking for administration of Dexamethasone, we currently count only .



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