HCPCS G0415: Pelvic fracture repairMedicare rate & RVUs in Florida
Report G0415 for open operative treatment of a posterior pelvic ring fracture, including internal fixation when performed, in unilateral or bilateral cases.
CMS doesn’t publish an office rate for G0415 in Florida.
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 9 sections
What G0415 covers
G0415 represents open surgical treatment of a fracture involving the posterior pelvic ring. The orthopedic or orthopedic trauma surgeon exposes the fracture to reduce and stabilize it; internal fixation is included when performed. These injuries may involve the sacrum or the sacroiliac portion of the pelvic ring and are generally treated in an operating room, commonly in a hospital facility. The code describes the posterior ring service, not a general pelvic fracture repair or an iliac spine avulsion repair.
Select G0415 from the operative report’s documented fracture location and open approach. The record should establish the posterior pelvic ring injury and describe the treatment performed, including fixation when applicable. The code covers unilateral or bilateral treatment, so modifier 50 is not appropriate. A 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. CMS may pay for an assistant at surgery and permits co-surgeons; 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 G0415 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,364.05 |
| Miami | Unavailable | $1,482.20 |
| Rest Of Florida | Unavailable | $1,295.58 |
How the G0415 rate is calculated
Each of G0415’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 · G0415
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 20.41Practice expense 12.26Malpractice 4.43
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0415
G0415 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · G0415
Pelvic fracture repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · G0415
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
G0415 without 51 · national facility
$1,239.17
Pelvic fracture repair
G0415-51 · Second procedure: 50%
$619.59
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%).
G0415 compared with similar codes
Compare codes
G0415 vs G0413 vs G0414 vs 27216 vs G0412: national Medicare rates
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How to choose
- G0413Pelvic ring repair
- G0415 identifies open treatment of a posterior pelvic ring fracture. G0413 is another open pelvic ring fracture code; use the operative documentation to distinguish the injury pattern and service.
- G0414Pelvic fracture repair
- G0415 is specific to the posterior pelvic ring. G0414 is a related open pelvic ring fracture code with a different treatment distinction.
- 27216Treat pelvic ring fracture
- Choose 27216 for percutaneous skeletal fixation of a posterior pelvic ring fracture; G0415 describes open treatment.
- G0412Iliac spine repair
- G0412 concerns open treatment of iliac spine, tuberosity, or apophyseal avulsion fractures, not a posterior pelvic ring fracture.
G0415 billing questions
When should G0415 be selected instead of another pelvic fracture code?
Use G0415 when the operative report documents open treatment of a posterior pelvic ring fracture. Codes for other pelvic ring locations or injury patterns may apply when the treated site differs.
Is internal fixation included in G0415?
Yes. The service includes internal fixation when performed as part of the open treatment.
Should modifier 50 be appended for treatment on both sides?
No. G0415 covers unilateral or bilateral treatment, and the bilateral adjustment does not apply.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this service. Team surgery is not permitted.
How does CMS handle G0415 with other procedures in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.
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
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