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The correct response is that initial inpatient (IP) codes are typically submitted solely by the admitting provider. In the context of inpatient admissions, the admitting provider is responsible for documenting the patient's condition at the time of admission and assigning the appropriate diagnosis codes for the patient's stay. This process is crucial for accurate billing and proper medical record keeping.

The admitting provider has the most direct knowledge of the patient's medical situation upon admission, which is why they handle the coding of the initial diagnosis. Other providers, such as consultants or specialists, may contribute to the patient's overall care and document their findings, but they do not submit the initial codes. This delineation ensures that there is a clear point of accountability and maintains the integrity of the patient's admission record.

In circumstances like emergency admissions or surgical requirements, while these may influence the nature of the admission or subsequent treatment plans, they do not alter the responsibility of the admitting provider in terms of coding the initial inpatient diagnosis.