Thank you for that link. I was aware of all of the information in the link. It still does not answer exactly what we are to do since our lab is not in-house. The physician has no way of reviewing the results while the patient is still in the office. We have to wait for the results to come back from the outside lab. Then if there is an issue that needs to be addressed, the physician feels he should be paid for the time reviewing the results and coming up with a new treatment. I have stated my case of the only way to do that is to have the patient come back in for a visit. I need something to support that fact and specifically addressing the outside lab issue.