I am working appeals and we had a patient come in with a superficial layer of epidermis partially abraded away with laceration in center of abrasion, somewhat gaping and extending to mucosal surface 3cm laceration to the lip and a 1cm superficial stellate laceration to the left lateral nose. A xray was done due to nasal deformity and patient had a bilateral nasal bone fracture with some deviation of the septum, physician did set up a follow up with ENT for a consult on the nasal fracture. It was billed out as 99285-25, 12052 (lip lac reapir), 12011 (nasal lac repair), and 21310. Insurance denied laceration repairs as being part of professional care, I know the 12011 should have had a 59 modifier, but should the laceration repair have been billed with the fracture care on the same location?