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If counseling is provided as a portion of or adjunct to the primary purpose of the visit, a provider may report a counseling code in addition to the appropriate evaluation and management (E/M) services

The situation is made more complex by the wide variation in chemical profile across brands of same product and within batches of a brand

The HTP market leader is Philip Morris Internationals (PMI) IQOS, an abbreviation of I Quit Ordinary Smoking, while British American Tobacco (which makes Glo) and Japan Tobacco International (Ploom) are the other key players

Some manufacturers have exploited this loophole by marketing tobacco labeled as pipe tobacco that is clearly intended for rolling into cigarettes