I am having issues getting 14040 to pay with a hypospadias repair (54322). My provider is saying that they should not be mutually exclusive because the skin transfer is being used to cover the sutures on the shaft not for the urethroplasty and the medical records clearly state that. I added a 59 modifier to 14040 and after medicaid reviewed the medical records they still deny it. I cannot find a CCI edit that states they are included. Can anyone explain why these may be denying our another code i could use instead of 14040?