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HCPCS G0414: Pelvic fracture repairMedicare rate & RVUs

Open treatment of an anterior pelvic bone fracture or dislocation, with internal fixation when performed, for operative stabilization of the anterior pelvis.

CMS RVU26DEffective Oct 1, 2026109 payment localities738 Medicare services in 2024

Medicare pays $924.20 for G0414 nationally in a facility.

Medicare rate · G0414

Pelvic fracture repair

Swap in your local Medicare rate.

Work RVUs
14.28
Total RVUs
27.67
Global days
090

National rate · 2026

$924.20

Facility setting, before claim adjustments.

See every locality for G0414 → · 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 G0414 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 G0414 covers

An orthopedic trauma surgeon uses an open approach to reduce and treat a fracture or dislocation of the anterior pelvic bone. The operative site may involve the pubic region, including a pubic symphysis disruption. Internal fixation is included when performed. These procedures are typically performed in a hospital operating room for traumatic pelvic injuries requiring open surgical treatment.

Select G0414 when the operative treatment is directed to the anterior pelvic bone; distinguish it from treatment of the broader pelvic ring or the posterior pelvic bone. The operative report should identify the fracture or dislocation site, the open treatment performed, and any fixation used. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.

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 G0414 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

G0414 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$836.92
Alaska*Unavailable$1,139.56
ArizonaUnavailable$898.86
ArkansasUnavailable$826.21
AtlantaUnavailable$951.57
AustinUnavailable$933.63
BakersfieldUnavailable$926.75
Baltimore/Surr. CntysUnavailable$981.14
BeaumontUnavailable$885.88
BrazoriaUnavailable$902.57

G0414 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
G0414 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 G0414 rate is calculated

Each of G0414’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 · G0414

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.28Practice expense 10.35Malpractice 3.04

27.6700 adjusted RVUs×$33.4009 conversion factor=$924.20

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

Payment rules and modifiers for G0414

G0414 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · G0414

Pelvic fracture 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 · G0414

Pelvic fracture 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

G0414 without 51 · national facility

$924.20

Pelvic fracture repair

G0414-51 · Second procedure: 50%

$462.10

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

G0414 compared with similar codes

Compare codes

G0414 vs G0413 vs G0415 vs G0412: national Medicare rates

Swap in your local Medicare rate.

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

How to choose

G0413Pelvic ring repair
G0413 describes open treatment of a pelvic ring fracture. G0414 is specific to open treatment of an anterior pelvic bone fracture or dislocation.
G0415Pelvic fracture repair
G0415 is for open treatment of posterior pelvic bone fractures or dislocations; G0414 identifies the anterior pelvic bone.
G0412Iliac spine repair
G0412 describes open treatment of iliac spine, tuberosity, or avulsion fractures, rather than anterior pelvic bone fracture or dislocation treatment.

Codes related to G0414

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

Codes related to G0414
CodeHow it relatesNational office range
Same family
G0413Pelvic ring repairOpen pelvic ring fracture treatment; distinguish the ring-level service from anterior-bone treatment.No office rate
G0415Pelvic fracture repairOpen treatment of posterior pelvic bone fractures or dislocations.No office rate
Used instead
G0412Iliac spine repairFor open treatment of iliac spine, tuberosity, or avulsion fractures rather than anterior pelvic bone treatment.No office rate

G0414 billing questions

When should G0414 be selected instead of G0413?

Use G0414 for open treatment of an anterior pelvic bone fracture or dislocation. G0413 describes open treatment of a pelvic ring fracture and is the relevant distinction when the operative service is reported as pelvic ring fracture treatment.

How does G0414 differ from G0415?

G0414 is for the anterior pelvic bone; G0415 is for open treatment of the posterior pelvic bone. The operative report should support which region was treated.

Can internal fixation be reported separately?

Internal fixation, when performed as part of the open treatment, is included in G0414.

Should modifier 50 be appended for bilateral injury?

No. The CMS bilateral adjustment does not apply to G0414, and modifier 50 is inappropriate.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

May an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is not permitted.

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 G0414PPRRVU2026_Oct_nonQPP.csv, line 15,243 (RVU26D)

Open CMS sourceHow we calculate rates

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