No office rate
G0413 describes open treatment of a pelvic ring fracture. G0414 is specific to open treatment of an anterior pelvic bone fracture or dislocation.
On this page
CMS RVU26D · Effective 2026-10-01
G0414 Pelvic fracture repair Medicare reimbursement rates in Maine
Open treatment of an anterior pelvic bone fracture or dislocation, with internal fixation when performed, for operative stabilization of the anterior pelvis. Compare G0414 office and facility rates across CMS payment localities in Maine.
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 G0414 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$858.17–$883.62
2 of 2 localities have a supported rate.
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 G0414: Open anterior pelvic fracture treatment
Open treatment of an anterior pelvic bone fracture or dislocation, with internal fixation when performed, for operative stabilization of the anterior pelvis.
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.
CMS billing rules for G0414
- 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 RVU14.28 · 52%
- Practice expense (office) RVU10.35 · 37%
- Malpractice RVU3.04 · 11%
738
Medicare services in 2024 · #3217 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.
G0414 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
G0415 is for open treatment of posterior pelvic bone fractures or dislocations; G0414 identifies the anterior pelvic bone.
No office rate
G0412 describes open treatment of iliac spine, tuberosity, or avulsion fractures, rather than anterior pelvic bone fracture or dislocation treatment.
Compare G0414 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$858.17
Southern Maine →
Office / nonfacility
Unavailable
Facility
$883.62
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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 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.
15,240G0411,,Interactive grp psyc php/iop,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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