CPT® code 11440 and 17000

I billed e/m 99214, modifier 25, ICD 9 401.1,276.8,448.1,702.0. Procedures 11440 and 17000 were performed. I billed 11440, twice for 2 lesions removed behind ear. I put 11440, ICD 9 448.1 modifier 51, then listed 11440 ICD 9 448.1, then listed 17000, ICD 9 702.0. Payer paid the e/m visit and the 17000 but they keep saying that 11440 is unbundled service. Is there any way to get paid for this. Dr. did a totally separate proceduce, cryotherapy on a baseline hairline lesion. The other two lesions were excised behind the rt ear. Any help will be appreciated.

skin lesions

http://www.cigna.com/customer_care/healthcare_professional/coverage_positions/medical/mm_0302_coveragepositioncriteria_benign_skin_lesion_removal.pdf
Also, modifier -59 on 2nd excision, if an excision was technique used (11440, 11440-59). If all were medically necessary: 11440, 11440-59, 17000-51

11440

Thanks, I will try that. I am very new at this and am trying to figure it out.