A patient presents to the ED with a dog bite to the face. Our hospitalist called another physician (who is also a surgeon) to the ED to repair the wound.
The patient is Medicaid and the bill has been denied. The patient was discharged to home (no admit).

I billed 99283 for the hospitalist with a modifier -25.
I billed 99283 for the physician who repaired the wound.
And I billed 13152 for the complex wound repair (documentation supported this).

Can I get some feedback for ED consults? We have never had this happen, so I’m trying to educate myself.

Thanks so much,
Verna