Audiology

Referring Physicians

How to Refer a Patient for Audiology Services

To refer a patient who has Medicare, please send a referral for Audiologic Evaluation via UCLA MyChart or send a paper referral via fax to 1-310-825-3344.

To refer an HMO patient, please submit an authorization for CPT codes 92557, 92567 and 92550 for adults. 
For children ages 5+, please submit authorization for CPT codes 92550, 92555, 92556, 92557, 92567, 92582, 92587 and 92588. 
For children under 5 years old, please submit authorization for CPT codes 92550, 92555, 92556, 92567, 92579, 92582, 92587 and 92588.

If you have questions, please call 310-825-5721.