CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT G0413 RVU and Medicare Payment (2026)
Pelvic ring fracture uni/bil — 15.34 work RVU, about $977.98 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 15.34
- PE RVU (non-facility)
- 10.68
- PE RVU (facility)
- 10.68
- MP RVU
- 3.26
- Office payment
- $977.98
- Facility payment
- $977.98
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For G0413 in a non-facility setting with national GPCI: (15.34 + 10.68 + 3.26) × $33.4009 ≈ $977.98. The same code in a facility setting pays about $977.98 because facility PE RVU (10.68) replaces office PE RVU.
What changes by locality
GPCI moves G0413 non-facility payment from $874.87 to $1,208.46 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT G0413?
15.34. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT G0413 in 2026?
About $977.98 non-facility ($977.98 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (15.34) and malpractice RVU stay fixed; only practice expense changes (10.68 office vs 10.68 facility). That is the entire office-vs-facility payment gap.