Question 1

Does G0412 require prior authorization?

Accepted Answer

No, G0412 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G0412?

Accepted Answer

Medicare facility rate: $669.02. Non-facility rate: $669.02. Work RVU: 10.19.

`G0412` — 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

Prior Authorization