HCPCS G0412: Iliac spine repairMedicare rate & RVUs in Oregon
Open surgical treatment of an iliac spine fracture, reported when the fracture is treated through an operative approach on one or both sides.
CMS doesn’t publish an office rate for G0412 in Oregon.
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 G0412 covers
An orthopedic or trauma surgeon uses an open operative approach to expose and treat an iliac spine fracture. A displaced anterior iliac spine avulsion that requires operative treatment is a representative clinical situation. The service addresses the iliac spine fracture itself, rather than a broader pelvic ring injury, and is generally performed in an operating room, usually in a hospital or other facility setting.
Report G0412 for open treatment of an iliac spine fracture, whether unilateral or bilateral. The operative report should identify the fracture location, side or sides, open approach, and treatment performed. Do not append modifier 50; CMS identifies bilateral adjustment as inappropriate for this descriptor. The 90-day global includes the day-before preoperative visit 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 at 50%. An assistant at surgery may be paid, 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 G0412 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $684.35 |
| Rest Of Oregon | Unavailable | $646.47 |
How the G0412 rate is calculated
Each of G0412’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 · G0412
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.19Practice expense 7.67Malpractice 2.17
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0412
G0412 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · G0412
Iliac spine 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 · G0412
Iliac spine 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
G0412 without 51 · national facility
$669.02
Iliac spine repair
G0412-51 · Second procedure: 50%
$334.51
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%).
G0412 compared with similar codes
Compare codes
G0412 vs G0413 vs G0414 vs G0415: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0413Pelvic ring repair
- G0413 addresses an iliac ring fracture; G0412 is specific to an iliac spine fracture.
- G0414Pelvic fracture repair
- G0414 is for an anterior pelvic ring fracture, not an isolated iliac spine fracture.
- G0415Pelvic fracture repair
- G0415 is for a posterior pelvic ring fracture; G0412 applies to open treatment of an iliac spine fracture.
G0412 billing questions
How does G0412 differ from open treatment of a pelvic ring fracture?
G0412 is for a fracture of an iliac spine. Use a pelvic ring fracture code when the treated fracture involves the pelvic ring rather than the iliac spine.
Should modifier 50 be appended for bilateral iliac spine treatment?
No. The code covers unilateral or bilateral treatment, and CMS identifies bilateral adjustment as inappropriate for this descriptor.
What documentation supports G0412?
Document the iliac spine fracture, the side or sides treated, the open approach, and the treatment performed.
Are related postoperative visits separately included?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons. 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
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