G0413 HCPCS Level II code: Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or…

G0413 is the HCPCS code for “Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint…” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

G0413

Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)

Short description: Pelvic ring fracture uni/bil

HCPCS · United States

Notes for G0413

As CMS prints them, with any note G0413 takes from the headings above it.

Note

  • CMS processing note 0155: MEDICARE DOES NOT RECOGNIZE CODES 27215, 27216, 27217 AND 27218 FOR 2009.

Medicare details

The indicators CMS publishes with G0413 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Carrier judgment
Medicare pricing
Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
ASC
Approved for ambulatory surgical centers
Type of service
Surgery
BETOS category
Major procedure, orthopedic - other
Added
Jan 1, 2009

Where G0413 sits

  1. 1G codesProcedures and professional services
  2. 2Active code G0413Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

Frequently asked questions

What does HCPCS code G0413 mean?

G0413 is the HCPCS code for “Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover G0413?

CMS lists G0413’s Medicare coverage as “Carrier judgment” and its pricing as “Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealthG0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealthG0409Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by…G0410Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutesG0411Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutesG0412Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring…G0414Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when…G0415Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation…G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any methodG0417Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimensG0418Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 41-60 specimensG0419Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens