The requisition should be filled out appropriately and signed by the ordering provider. Supporting documentation elsewhere in the medical record is acceptable, but if it is written long after the fact, it doesn't support medical necessity as well as the initial requisition will. A progress note that coincides with when the req is submitted is better documentation, even if it is a transcription of a telephone order. It seems you need to communicate your requirements more clearly to your clinicians to avoid exposure to charges of abuse.
V70.0 is an overused code of last resort.
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