top of page

Practical Medical Coding for 
Hospital Outpatient Care

Clear, real-world guidance for ER, Observation &
Infusion coding written by a facility coding specialist.

Infusions and Hydration Coding 

Start here

A complete breakdown of the MAR in Epic

This site is for

Hospital Facility Outpatient Coders

Charge Capture Specilist 

Coders who want clear answers not just guidelines 

Facility  Outpatient CPT Modifiers

2026 CPT code updates

Condition Code 44 is used when a patient initially admitted as an inpatient is determined, while still in the hospital and before an inpatient claim is submitted, not to meet inpatient criteria. The hospital changes the status to outpatient/observation and bills under outpatient rules; the decision must be documented by utilization review.

Guidelines in Medical Coding

Guidelines don't fail Coders,

documentation does.

Guidelines tell us how to code, documentation tells us what we can code.

High-Risk Area Related to Documentation

Code 44
bottom of page