labwork not sent

Hello,

If a patient had bloods drawn (ordered by the doctor) and then refused to have them sent out to the lab, are we allowed to code/bill for the blood draw? We held onto the bloods for 10 days but did nothing with them.

Another situation: the doctor removed a sample of a skin lesion but it was "insufficient for submission to laboratory not submitted." Are we allowed to bill for the biopsy? Is modifier 22 appropriate here?

Thank you very much for your help.

labwork not sent