Table 1: Parallel coding for pelvic fractures CPT CPT Description 2010 Medicare Medicare Description Medicare RVUs Code RVUs for Temporary for Unilateral or Unilateral G Code Bilateral Procedure Procedure 27215 Open treatment of iliac spine(s), 18.45 G0412 Open treatment of iliac spine(s), 18.45 tuberosity avulsion, or iliac wing tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fractures(s), unilateral or bilateral, for fracture patterns that do not disrupt pelvic bone fracture patterns which do the pelvic ring, includes internal fixation, not disrupt the pelvic ring (includes when performed internal fixation, when performed) 27216 Percutaneous skeletal fixation of 27.21 G0413 Percutaneous skeletal fixation of 27.21 posterior pelvic bone fracture and/or posterior pelvic bone fracture and/or dislocation, for fracture patterns that dislocation, for fracture patterns which disrupt the pelvic ring, unilateral disrupt the pelvic ring, unilateral or (includes ipsilateral ilium, sacroiliac bilateral (includes ilium, sacroiliac joint and/or sacrum) joint and/or sacrum) 27217 Open treatment of anterior pelvic bone 25.72 G0414 Open treatment of anterior pelvic bone 25.72 fracture and/or dislocation for fracture fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, patterns which disrupt the pelvic ring, unilateral, includes internal fixation, unilateral or bilateral, includes internal when performed (includes pubic fixation when performed (includes pubic symphysis and/or ipsilateral symphysis and/or superior/inferior rami) superior/inferior rami) 27218 Open treatment of posterior pelvic bone 35.37 G0415 Open treatment of posterior pelvic bone 35.37 fracture and/or dislocation, for fracture fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, patterns which disrupt the pelvic ring, unilateral, includes internal fixation, unilateral or bilateral, includes internal when performed (includes ipsilateral fixation, when performed (includes ilium, ilium, sacroiliac joint and/or sacrum) sacroiliac joint and/or sacrum)
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See CODING, page 35 - · PDF filereport bilateral procedures, report [27215–27218] with modifier 50.” Although this is correct coding for third-party payors, it is not cor- ...
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Understanding the shiftTable1showshowthefive-digitCategoryICPTcodesparalleltheassociatedMedicareGcodes.NotethatMedicareaddedthetermsunilateralorbilateraltotheGcodes,thusinvalidatingCPTcodes27215–27218asvalidcodes.