Reporting Multiple Outpatient Visits that Occur on the Same Day

Published 04/24/2026

Hospitals, subject to Outpatient Prospective Payment System (OPPS), report condition code G0 when multiple medical visits occurred on the same day in the same revenue center (0450, 0761, 0510) but the visits were distinct and constituted independent visits.

An example of such a situation would be a beneficiary going to the emergency room twice on the same day, in the morning for a broken arm and later for chest pain.

Multiple medical visits on the same day in the same revenue center may be submitted on separate claims. Hospitals should report condition code G0 on the second claim.

Appropriate reporting of condition code G0 allows for accurate payment under OPPS in this situation. The Outpatient Code Editor (OCE) contains an edit that will reject multiple medical visits on the same day with the same revenue code without the presence of condition code G0.

Proper Reporting of Condition Code G0 (Zero)

  • Hospitals should report condition code G0 on FLs 24-30 when multiple medical visits occurred on the same day in the same revenue center, but the visits were distinct and constituted independent visits. An example of such a situation would be a patient going to the emergency room twice on the same day, in the morning for a broken arm and later for chest pain
  • Multiple medical visits on the same day in the same revenue center may be submitted on separate claims. Hospitals should report condition code G0 on the second claim.
  • Claims with condition code G0 should not be automatically rejected as a duplicate claim
  • Proper reporting of condition code G0 allows for proper payment under OPPS in this situation. The OCE contains an edit that will reject multiple medical visits on the same day with the same revenue code without the presence of condition code G0.
Table 1. Proper Reporting of Condition Code G0.
Evaluation & Management (E/M) Revenue Center Condition Code OCE Action
2 or more Two or more E/M codes have the same revenue center No G0 Assign medical APC to each line item with E/M code and deny all line items with E/M code except line item with highest APC payment
2 or more Two or more E/M codes have the same revenue center G0 Assign medical APC to each line item with E/M code

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