There is no rationale to charge a 99211 for labs. A code exisit for blood draws and that is the code to use. This is preplanned for the patient to come to the office for this service. An E&M may not be charged when the patient has already been evaluated at a previous encounter for the necessity of the planned procedure, in this case a blood draw. Performing vital signs is not justification for a 99211, for all payers you should bill the blood draw and the lab codes only.
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