Yesterday I met with one of our family physicians regarding a recent audit. One of her patient's came in for some neurological changes, and was sent to the ER. When I audited the visit is came to a 99214, the doctor coded it a 5. Her reasoning was that since she sent the patient to the hospital she automatically feels the visit is a 5. My feeling is the visit should be coded based on what is done in the office and her decision making, and that this may not always be a 99215. Am I way off base?