Facility Outpatient E/M Coding

Article Overview

This article reviews how outpatient E/M services are reported in a facility setting and highlights payer and Medicare guidance that affects hospital outpatient clinic and emergency department billing. It discusses general topics such as UB-04 reporting elements, Medicare beneficiary billing changes over time, facility-specific modifier use, and references to related coding guidance for same-day services. The article is intended for coders, billers, and revenue cycle staff who need a high-level understanding of facility outpatient E/M reporting requirements.