Bundled Procedures

My provider did 99214,69210,92504,92567,92587 on the same dos for a patient. I billed all these with modifier 25 for 99214, i got payment for 99214,92567,92587 from MCD and denial for 69210,92504 stating these are bundled procedure codes. I checked validation for all these in a website it also states these are bundled procedures and a modifier is not allowed, so what should i do to get paid for these procedure codes also( i mean how should i bill?) Any help would be appreciated...

Well,

try again- Well,

it depends on your ICD code. Ear cleaning is generally bundled into an office visit, often even when the visit is for hypertension, diabetes etc. The best way is to be sure that the E&M is linked to the medical codes with -25 as you did and the ear stuff is linked to hearing loss or ear pain or impacted cerumen or all of them and then cross your fingers that the insurer does not bundle. If they do, it is probably in a contract somewhere that you signed that lets them do it.