Referring 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 .
Indications for Referral for Genetic Testing/Counseling
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
Please 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.
Outside Providers
Please fax your referral with all relevant medical records to 310-825-5136 or email to .
- 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