| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
G0412 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
Open 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 includes internal fixation, when performed |
| HCPCS Short Description |
Open tx iliac spine uni/bil |
| HCPCS Pricing Indicator Code 1 |
13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Code |
C - Carrier judgment |
| HCPCS Processing Note Number |
0155 |
| HCPCS Berenson-Eggers Type Of Service Code |
P3D - Major procedure, orthopedic - other |
| HCPCS Type Of Service Code 1 |
2 - Surgery |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
1/1/2009 |
| HCPCS Action Effective Date |
1/1/2009 |
| HCPCS Action Code |
N - No maintenance for this code |