Wiki Help with circumcision procedure in dr office

[Kar116]

I need help in correctly coding a circumcision done in an office setting for a 7 day old newborn by the pediatrician in which we are billing to one of the private insurance plans. Insurance payment came back denying J2001, A4649, A4356 codes as included with the procedure, therefore, bundling. 54150 was billed as $200.00 and only came up with a measly payment of $28.17. Do I need to add a modifier to the 54150? We are constantly seeing this way of claim processing and the doctor comes out with low benefit level.
99391-25
54150
J2001 Lidocaine 1%
A4649 Surgical Supplies
A4356 External urethral clamp or compression device

Is this correct or would I need medical documentation attached? Any thoughts out there???