Question: Washington Subscriber Answer: Example: In contrast, a patient presents for a blood draw. If the nurse only draws blood, report 36415 (Collection of venous blood by venipuncture) instead of 99211. Don't forget to meet the documentation requirements for an E/M service, which include: 1. Reason for the visit: Documentation for code 99211 (or any other E/M code in this circumstance) must demonstrate a need for clinical evaluation and management (for instance, patient's report of symptoms or signs that are significant enough to necessitate evaluation) 2. Current medications listed (with notation of level of compliance) 3. Indication of doctor's evaluation of the clinical information obtained and her management recommendation 4. Identity and credentials of provider(s) listed. Note that face-to-face time with the patient is not a requirement to bill 99211. -- The answers to the Reader Questions and You Be the Billing Expert were provided or reviewed by Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC, president of CRN Healthcare Solutions, a coding and reimbursement consulting firm in Tinton Falls, N.J., and senior coder and auditor for The Coding Network.