- Outpatient Services for Registered Inpatients
- Using the IVR to Avoid Eligibility and Entitlement-Related Claim Rejections and RTPs
- Allergen Immunotherapy Preparation (95144-95165)
- Ambulatory Surgical Center Approved HCPCS Codes and Payment Rates
- Annual Wellness Visits ‑ Billing Tips for Physicians
- Billing for FQHC MAO Plan Supplemental Payment (PPS Providers)
- Billing for Services Not Included in the FQHC Benefit
- Attention all OPPS Providers: Provider-Based Department Edits Being Implemented on/after 8/1/2023
- Billing Medicare for a Denial - Condition Code 21
- URGENT: Billing Reminders for OPPS Providers with Multiple Service Locations
- Billing Medicare Part A When VA-Eligible Medicare Beneficiaries Receive Services in Non VA Facilities
- Condition Code G0 Reminder
- CPT Code 15830: Excision, Excess Skin and Subcutaneous Tissue; Abdomen, Infraumbilical Panniculectomy
- Electronically Submitted Claims that Exceed $99,999.99
- ESRD Facilities: Clarification for Providing Dialysis Services to Patients Acute Kidney Injury
- Federally Qualified Health Centers Behavioral Health Claims Job Aid
- Federally Qualified Health Centers Contracting with Medicare Advantage Plans
- Fee-For-Time Compensation Arrangement and Reciprocal Billing Job Aid
- Answers to Common Fee-for-Time Compensation Arrangements Questions
- FQHC and Group Therapy Services Job Aid
- Hospital Acquired Conditions and Present on Admission Resource for Acute Care Hospital Facilities
- Long-Term Care Hospitals: How to Request Adjustments of Claims Paid at the Site Neutral Rate
- Inhalation Treatment CPT 94640 – Billing Errors
- Immunization Roster Billing
- JK: Medicare Paid Hospital Providers Twice for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient IPPS Hospital Stays
- Nonphysician Practitioners Billing for Surgical Procedures
- Professional Services During a Patient Hospice Election
- Professional Services During a Patient Hospice Election
- Proper Billing for Finger and Toe Procedures
- Proper Submission of Fee-For-Time Compensation Arrangements and Reciprocal Billing Arrangements
- Proper Use of Taxonomy Codes
- A/B Rebilling Facts
- Common Reciprocal Billing Questions and Answers
- Reminder for Avoiding Claim Denials for Positron Emission Tomography Scans
- Reminder on Deleting Revenue Code Line(s) in the Fiscal Intermediary Standard System Direct Data Entry System
- Repetitive Outpatient Services for Providers Submitting Institutional Outpatient Claims
- Reporting Multiple Qualifying Visits on the Same Date of Service for FQHC Reimbursement
- Unlisted and Not Otherwise Classified Procedure Codes
- What All Facilities Need to Know About the Long-Term Care Hospital Three-Day or Less Interrupted Stay Policy
- Fiscal Year/Calendar Year Claim Split
- Hospitals Must Correctly Assign Severe Malnutrition Diagnosis Codes to Inpatient Claims
Condition Code G0 Reminder
National Government Services has noticed an increase in the number of claims reporting CC G0 (zero) inappropriately. Please review the following information so that your claims are not rejected or denied due to inappropriate use of CC G0.
CMS instructs hospitals subject to the OPPS to report CC G0 on FLs 24-30 (or the corresponding electronic equivalent location) when multiple medical visits occurred on the same day in the same revenue center but the visits were distinct and constituted independent visits.
Proper Use of Condition Code G0
As a reminder, multiple medical visits on the same day in the same revenue center may be submitted on separate claims when the visits are separate and distinct. Hospitals should report CC G0 on the second claim. If you do not report condition code G0 then your claim will either be returned to you for correction or rejected. Appropriate reporting of CC G0 allows for accurate payment under OPPS in this situation. Note that the OCE contains an edit that will reject multiple medical visits on the same day with the same revenue code without the presence of CC G0.
Example of the appropriate use of CC G0:
A beneficiary was seen in the same emergency room twice on the same day. In the morning, the beneficiary was treated for a broken arm. Later that same day, the beneficiary returned for treatment of chest pain. The two visits occurred on the same day and in the same revenue center; however, the visits were distinct and constituted independent visits. Therefore, it is appropriate to report CC G0 on the claim line representing the second visit.
Provider Action
Update any policies and procedures with this information and share with applicable staff.
Related Content
- CMS IOM Publication 100-04, Medicare Claims Processing Manual, Chapter 4
- Section 170 - Hospital and CMHC Reporting Requirements for Services Performed on the Same Day
- Section 180.4 - Proper Reporting of Condition Code G0 (zero)