No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
G0415 Pelvic fracture repair Medicare reimbursement rates in Kansas
Report G0415 for open operative treatment of a posterior pelvic ring fracture, including internal fixation when performed, in unilateral or bilateral cases. Compare G0415 office and facility rates across CMS payment localities in Kansas.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G0415 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1126.47
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About G0415: Open posterior pelvic ring fracture treatment
Report G0415 for open operative treatment of a posterior pelvic ring fracture, including internal fixation when performed, in unilateral or bilateral cases.
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.
CMS billing rules for G0415
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU20.41 · 55%
- Practice expense (office) RVU12.26 · 33%
- Malpractice RVU4.43 · 12%
290
Medicare services in 2024 · #4020 by national volume
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.
G0415 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
G0415 is specific to the posterior pelvic ring. G0414 is a related open pelvic ring fracture code with a different treatment distinction.
27216
No office rateTreat pelvic ring fracture
Choose 27216 for percutaneous skeletal fixation of a posterior pelvic ring fracture; G0415 describes open treatment.
No office rate
G0412 concerns open treatment of iliac spine, tuberosity, or apophyseal avulsion fractures, not a posterior pelvic ring fracture.
Compare G0415 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$1126.47
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0415 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
15,244
- Code
- G0415
- Physician work
- 20.41
- Practice expense
- 12.26
- Malpractice
- 4.43
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.41 | × 1.000 | 20.4100 |
| Practice expense | 12.26 | × 0.904 | 11.0830 |
| Malpractice | 4.43 | × 0.504 | 2.2327 |
| Total RVUs | 33.7258 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1126.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.41 | 1 |
| Practice expense | 12.26 | 0.904 |
| Malpractice | 4.43 | 0.504 |
(20.41 × 1 + 12.26 × 0.904 + 4.43 × 0.504) × $33.4009 = $1126.47
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,241G0412,,Open tx iliac spine uni/bil,A,,10.19,7.67,NA,7.67,,2.17,20.03,20.03,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,242G0413,,Pelvic ring fracture uni/bil,A,,15.34,10.68,NA,10.68,,3.26,29.28,29.28,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,243G0414,,Pelvic ring fx treat int fix,A,,14.28,10.35,NA,10.35,,3.04,27.67,27.67,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,244G0415,,Open tx post pelvic fxcture,A,,20.41,12.26,NA,12.26,,4.43,37.10,37.10,0,090,0.10,0.69,0.21,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,245G0416,,"Prostate biopsy, any mthd",A,,3.51,7.06,,7.06,NA,0.11,10.68,10.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,246G0416,26,"Prostate biopsy, any mthd",A,,3.51,1.44,,1.44,,0.06,5.01,5.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,247G0416,TC,"Prostate biopsy, any mthd",A,,0.00,5.62,,5.62,NA,0.05,5.67,5.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958