actinic keratosis – destruction lesions, Billed 17000, 17003 x 4 L57.0, one punch biospy DX D48.5 cpt 11102 59, medicare is denying paying the 11102 but denying the 17000 and 17003 , 236 This procedure or procedure/modifier combination is not compatible with another procedure or procedure/modifier combination,

We have always billed this way to Medicare and it paid, just started receiving these denials in the last 3-4 weeks.

Any ideas.