G0415 HCPCS - OPEN TREATMENT OF POSTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION, FOR FRACTURE PATTERNS WHICH DISRUPT THE PELVIC RING, UNILATERAL OR BILATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED (INCLUDES ILIUM, SACROILIAC JOINT AND/OR SACRUM)

Code Information

HCPCS Code: G0415
Sequence Number: 0010
Short Description: Open tx post pelvic fxcture
Long Description: Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)
Date Added: 1/1/2009
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2009
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Pricing Indicator Code:
- 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G0415
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 posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)
HCPCS Short Description	Open tx post pelvic fxcture
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