CPT 43249 and 43239

[lamiller]

Can someone tell me why I am not getting paid for both 43249 and 43239-XS with Blue Cross Medicare Advantage plans?

43249 was billed with DX code K22.2 and 43239-XS was billed with K31.89 and R13.19.

I thought these were not bundled together.

Thanks in advance for any help