For Providers

Find your care

Learn about your inherited risks so you can make informed decisions about your health care. For more information, connect with a cancer care specialist at 888-662-8252.

Indications for Referral

If your patient has a personal or close family history of any of the following, referral for genetic counseling is indicated:

  • Epithelial ovarian cancer, including fallopian tube or peritoneal cancer, at any age
  • Exocrine pancreatic cancer at any age
  • Metastatic or intraductal prostate cancer at any age
  • Male breast cancer at any age
  • Colon or uterine cancer that is MSI-high or with loss of mismatch repair staining (not explained by MLH1 promoter hypermethylation or BRAF mutation) at any age
  • Breast, colon, or uterine cancer diagnosed under age 50
  • Triple negative breast cancer diagnosed at age 60 or younger
  • Ashkenazi Jewish ancestry with breast and/or high-grade prostate cancer at any age
  • Multiple relatives on the same side of the family with breast, colon, uterine, melanoma, and/or prostate cancers
  • Colon polyposis (10+ adenomas) or rare polyps (2+ hamartomas or any number of Peutz-Jegher type polyps or juvenile polyps) 
  • Certain rare cancers at any age including:
    • Medullary thyroid cancer 
    • Paraganglioma/pheochromocytoma
    • Adrenocortial carcinoma
    • Lhermitte-Duclos disease
  • Known pathogenic mutation in the family in a cancer predisposition gene
  • Tumor genomic testing identifying a possible germline pathogenic mutation

As this list is not exhaustive, if you are unsure whether your patient is appropriate for genetic counseling and/or testing, please send us an eConsult (UCLA Health providers only) or email us at [email protected]  

Please click here for more information about eConsults.


How to Refer your Patient

Adult Cancer Genetics

UCLA Health Providers

In CareConnect, please enter a "Referral to Genetics, Cancer Adult" 

  • For patients with an HMO, including UCLA Medical Group, prior authorization of CPT 96040 x3 units is required.
  • For patients with managed Medi-Cal plans, Medicare Advantage or Tricare, please use CPT 99205. Please note that not all offices accept these plans for genetic counseling.
  • Most PPO plans do not require prior authorization for genetic counseling.
  • Tip Sheet - Referrals to Cancer Genetic Counseling.pdf

Outside Providers

Please fax your referral with all relevant medical records to 310-825-5136 or email to [email protected]

  • For patients with an HMO, prior authorization of CPT 96040 x3 units is required.
  • For patients with managed Medi-Cal plans, Medicare Advantage or Tricare, please use CPT 99205. Please note that not all offices accept these plans for genetic counseling.
  • Most PPO plans do not require prior authorization for genetic counseling.
  • For a list of all insurance plans accepted at UCLA, please click here.

Pediatric Cancer Predisposition Program

UCLA Health Providers

In CareConnect, please enter a "Referral for Genetics and Pediatric Hematology-Oncology"

Outside Providers

Please call 310-825-6708