Your post is not clear to me but will take a shot at it..........
If the patient comes in and has the coumadin (fingerstick) as part of the visit with the Physician, then code the E&M for the visit and the 85610 (with -QW if medicare) for the coumadin
If the patient comes in for a physician visit and a blood draw is done and the sample is sent to one of your other offices that has a lab and that lab will actually run the test, then code the E&M with the 36415 for the draw and the 99000 for the packing/prep of the sample. Your lab will code the CPT for whatever tests it runs
Is this what you were asking?
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