Instructions: Review each case, and select the appropriate level of history, examination, and medical decision making (key components) before referring to the CPT E/M section to assign the code. To assist in the process of assigning E/M codes, use the E/M CodeBuilder that is located in Appendix I. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code.

Evaluation and Management Coding Practice: Mark Jones, an established patient of Dr. Linde, telephones the doctor at 8:00 a.m. to discuss the results of his blood-glucose level test. The doctor concluded the call at 9:00 a.m. after discussing the test results and proposed therapy regimen. Mr. Jones had numerous questions that Dr. Linde took the time to answer completely.

E/M category/subcategory: Non-face-to-face services, telephone services

CPT E/M code: