Medicare denial on code 44180

Patient had procedure codes done: 49560, 49568, & 44180-59. Medicare is denying the procedure code 44180 as a co-97 (included w/other procedure) even with the 59 modifier linked to the code. dx code used for the 49560 & 49568 was 553.21. the dx. code used for the code 44180-59 was 568.0.
why would this be included? Please review & advise.

Medicare denial on code 44180

According to the NCCI edits:

Code 44180 is a component of Column 1 code 49560 and cannot be billed using any modifier

Using a modifier does not override a Column 1 CCI edit. You should not bill them together.