What should any services performed on the same date related to admission be included in?

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Services performed on the same date related to admission should be included in initial hospital care codes. These codes are designated for the first visit by a physician or qualified healthcare professional for the care of a patient admitted to the hospital, marking the beginning of inpatient management.

Initial hospital care codes encompass various services related to the patient’s admission, including the comprehensive evaluation of the patient’s condition and the formulation of a plan of care. This coding reflects the new relationship established between the patient and the provider as they begin treatment in a hospital setting.

Other coding options, such as follow-up codes, subsequent codes, or consultation codes, are not appropriate in this context. Follow-up codes are used for ongoing care after the initial evaluation and treatment, subsequent codes are meant for subsequent encounters after the initial care has been provided, and consultation codes apply when a physician requests the services of another specialist. Therefore, including services performed at the time of admission under initial hospital care codes accurately reflects the nature of the service provided and supports appropriate reimbursement.

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