G0413 Pelvic ring fracture uni/bil
Also known as: open pelvic ring fracture, pelvic ORIF
Open surgical treatment of pelvic ring fracture performed unilaterally or bilaterally with open reduction and internal fixation.
In Plain Language
pelvic bone fracture surgery
Clinical Context
Surgical repair of pelvic ring fractures involving open visualization and hardware placement for stability.
RVU Breakdown
| Work RVU | 15.34 |
| Total RVU | 15.34 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care.Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 15.34, this code ranks in the 99th percentile among G Codes codes — 15.8x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0413?
CPT G0413 (Pelvic ring fracture uni/bil) is a G Codes code. Open surgical treatment of pelvic ring fracture performed unilaterally or bilaterally with open reduction and internal fixation.
Who uses CPT code G0413?
CPT G0413 is used by Orthopedic Surgery, Trauma Surgery. Surgical repair of pelvic ring fractures involving open visualization and hardware placement for stability.
When is CPT G0413 used?
Surgical repair of pelvic ring fractures involving open visualization and hardware placement for stability.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.