Referring Physicians
For Referring Providers
Referring patients
- Please call us at (310) 825-5961 to check our availability.
- Medical records may be faxed to (310) 206-3649.
Facility address:
UCLA OB/GYN Clinic
1010 Veteran Ave
Los Angeles. CA 90095
The UCLA OB/GYN Clinic is a hospital outpatient clinic. Both professional and hospital billing charges will apply for all services.
Abortion in the 1st Trimester For outpatient medical abortion and surgical abortion in 1st trimester
Common diagnosis code: Z33.2 Encounter for elective termination of pregnancy
Requested CPT Codes:
99204 E/M visit
76815 Ultrasound
64435 Paracervical block
59840 Dilation & Curettage
S0190 Mifepristone
S0191 Misoprostol
99214 Follow-up visit
Lab work (typically “CBC, type and screen”)
If patient desires contraception (IUD, Implant):
58300 IUD insertion
J7301 Skyla IUD
J7297 Liletta IUD
J7298 Mirena IUD
J7300 Copper IUD
11981 Implant insertion
J7307 birth control implant (nexplanon)
Facility address:
UCLA OB/GYN Clinic
1010 Veteran Ave.
Los Angeles, CA 90095
Surgical Abortion in the 2nd Trimester (Outpatient D&E)
Encounter for elective termination of pregnancy
Common diagnosis code: Z33.2
Pre-operative and follow up appointments:
99204 E/M visit
76815 Ultrasound
64435 Paracervical block
59200 Laminaria insert
59897 Fetal invasive procedure
99214 Follow-up visit
Facility address:
UCLA OB/GYN Clinic
1010 Veteran Ave.
Procedure:
57410 Exam under anesthesia
64435 Paracervical block
59841 Dilation & Evacuation
76998 Ultrasound guidance
Facility address:
Ronald Reagan UCLA Medical Center
757 Westwood Plaza
Los Angeles. CA 90095
Referring for Surgical Treatment of Missed Ab or IUFD in the 2nd Trimester
Common diagnosis codes:
O02.1 Intrauterine fetal death before 20 weeks
O36.4XX0 Intrauterine fetal death after 20 weeks
Pre-operative and follow up appointments:
99204 E/M visit
76815 Ultrasound
64435 Paracervical block
59200 Laminaria insert
99214 Follow-up visit
Facility address:
UCLA OB/GYN Clinic
1010 Veteran Ave.
Procedure:
57410 Exam under anesthesia
64435 Paracervical block
59821 Treatment of 2nd trimester missed ab
76998 Ultrasound guidance
Facility address:
Ronald Reagan UCLA Medical Center
757 Westwood Plaza
Los Angeles. CA 90095
Referring for Treatment of Incomplete Abortion
Common diagnosis codes:
O03.4 Incomplete spontaneous abortion
O07.4 Failed induced abortion
Requested CPT Codes:
99204 E/M visit
76815 Ultrasound
64435 Paracervical block
59812 Treatment of incomplete abortion
99214 Follow-up visit
Facility address:
UCLA OB/GYN Clinic
1010 Veteran Ave.
Los Angeles, CA 90095
Referring for Medical Abortion in the 2nd Trimester
(Induction of Labor [IOL])
Common diagnosis code: Z33.2 Encounter for elective termination of pregnancy
Pre-operative and follow up appointments:
99204 E/M visit
76815 Ultrasound
59897 Fetal invasive procedure
99214 Follow-up visit
Facility address:
UCLA OB/GYN Clinic
1010 Veteran Ave.
Los Angeles, CA 90095
Hospital stay:
59855 Induced labor abortion
*3-Day hospital stay*
Facility address:
Ronald Reagan UCLA Medical Center
757 Westwood Plaza
Los Angeles. CA 90095
Removal of the nonpalpable contraceptive implant
Encounter for surveillance of implantable subdermal contraceptive
Common diagnosis code: Z330.46.
Requested CPT codes:
99204 E/M visit
81025 Urine Pregnancy Test
76882 Ultrasound of an extremity
11976 Removal of contraceptive capsule
11982 Removal of drug implant device
88300 Surgical pathology
99214 Follow-up visit
Facility address:
UCLA OB/GYN Clinic
1010 Veteran Ave.
Los Angeles, CA 90095