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