The billing codes exist explicitly to limit the amount of independent thought that can be applied to something that is adequately summarized as "bit by a duck, third visit".
The billing codes exist explicitly to limit the amount of independent thought that can be applied to something that is adequately summarized as "bit by a duck, third visit".
None of this explains why these codes are needed for billing though. We simply don't need to bill differently for these pieces of information. The visit might have all these tags for informational purposes, but the bill should be for "visit to GP" and that's it.
The only reason that hospitals in the US get away with it is because of the ludicrous agreements that you sign when arriving (you agree to pay whatever magical amounts we decide to bill you...). If those contracts were unenforceable (as they should be), hospitals wouldn't come up with this idiocy and would charge things simpler and would tell you ahead of time what your cost will be.
It's not at all some mystery or make-work that the initial and subsequent visits for treatment will differ somewhat, do you not believe this?
Lemur's aren't common, ducks are, and "Chlamydia psittaci in ducks: a hidden health risk for poultry workers" is (via https://pubmed.ncbi.nlm.nih.gov/25854003/)