HCPCS code G0414 — Pelvic ring fx treat int fix. Status: Active. Effective Jan 1, 2026. Source: CMS HCPCS Level II.

G0414

Active

Pelvic ring fx treat int fix

Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jan 1, 2026
Code type: alphanumeric
OPPS Status: J1 — Hospital Part B services paid through a comprehensive APC (C-APC)
OPPS APC: 5114

MUE — Medically Unlikely Edits

Maximum units of G0414 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with G0414 without appropriate documentation.

Column 2 Code Modifier
G0463 Modifier may bypass edit
G0471 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2026-Q1
    Pelvic ring fx treat int fix