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HCPCS G0413: Pelvic ring repairMedicare rate & RVUs

Reports open operative repair of an anterior pelvic ring fracture, such as a disruption involving the pubic symphysis or pubic rami, with fixation when performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities2K Medicare services in 2024

Medicare pays $977.98 for G0413 nationally in a facility.

Medicare rate · G0413

Pelvic ring repair

Swap in your local Medicare rate.

Work RVUs
15.34
Total RVUs
29.28
Global days
090

National rate · 2026

$977.98

Facility setting, before claim adjustments.

See every locality for G0413 → · Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What G0413 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What G0413 covers

G0413 describes open surgery to repair a fracture disrupting the anterior pelvic ring, including injuries involving the pubic symphysis or pubic rami. An orthopedic trauma surgeon typically performs the operation in a hospital operating room, reducing the fracture and stabilizing it; internal fixation is included when used. The code encompasses unilateral or bilateral anterior-ring involvement, so the number of sides does not create a separate bilateral service.

Select G0413 when the operative report supports open treatment of the anterior ring. Document the fracture location, open approach, structures treated, and fixation performed. The code has a 90-day global period, including the day before surgery and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. Modifier 50 is inappropriate because the code already encompasses unilateral or bilateral treatment.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where G0413 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

G0413 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$886.13
Alaska*Unavailable$1,208.46
ArizonaUnavailable$951.24
ArkansasUnavailable$874.87
AtlantaUnavailable$1,007.11
AustinUnavailable$987.28
BakersfieldUnavailable$979.38
Baltimore/Surr. CntysUnavailable$1,038.02
BeaumontUnavailable$938.14
BrazoriaUnavailable$954.91

G0413 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
G0413 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the G0413 rate is calculated

Each of G0413’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · G0413

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 15.34Practice expense 10.68Malpractice 3.26

29.2800 adjusted RVUs×$33.4009 conversion factor=$977.98

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for G0413

G0413 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · G0413

Pelvic ring repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · G0413

Pelvic ring repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

G0413 without 51 · national facility

$977.98

Pelvic ring repair

G0413-51 · Second procedure: 50%

$488.99

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

G0413 compared with similar codes

Compare codes

G0413 vs G0414 vs G0415 vs G0412: national Medicare rates

Swap in your local Medicare rate.

  • G0413
    Pelvic ring repair · 15.34 wRVU
    —
  • G0414
    Pelvic fracture repair · 14.28 wRVU
    —
  • G0415
    Pelvic fracture repair · 20.41 wRVU
    —
  • G0412
    Iliac spine repair · 10.19 wRVU
    —

How to choose

G0414Pelvic fracture repair
Use G0414 when open treatment addresses both anterior and posterior pelvic ring components; G0413 is for the anterior ring.
G0415Pelvic fracture repair
G0415 addresses open treatment of a posterior pelvic ring fracture, rather than the anterior-ring injury reported with G0413.
G0412Iliac spine repair
G0412 concerns open treatment of iliac spine, tuberosity, or avulsion injuries; it is not the code for an anterior pelvic ring fracture.

Codes related to G0413

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to G0413
CodeHow it relatesNational office range
Same family
G0414Pelvic fracture repairOpen treatment involving both anterior and posterior pelvic ring components.No office rate
G0415Pelvic fracture repairOpen treatment focused on a posterior pelvic ring fracture.No office rate
G0412Iliac spine repairRelated open pelvic fracture surgery for iliac spine, tuberosity, or avulsion injuries.No office rate

G0413 billing questions

How does G0413 differ from G0414?

G0413 is for open treatment of the anterior pelvic ring. G0414 applies when both the anterior and posterior rings are treated.

Can G0413 be reported with modifier 50?

No. The code covers unilateral or bilateral anterior-ring treatment, and CMS specifies that bilateral adjustment does not apply.

Is internal fixation separately reported?

Internal fixation performed as part of the open fracture treatment is included in G0413.

What documentation supports G0413?

The operative report should identify the anterior-ring fracture site, the open treatment performed, and any fixation used. It should distinguish the treated anatomy from posterior-ring treatment.

How does the 90-day global affect follow-up billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for G0413PPRRVU2026_Oct_nonQPP.csv, line 15,242 (RVU26D)

Open CMS sourceHow we calculate rates

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