Ear, Nose and Throat (ENT)
Use the guidelines on this page to refer patients to UC Davis Health for ear, nose and throat (ENT) specialty care.
To help expedite your referral, include:
- Subspecialty or clinical indication
- Required clinical documentation
- Approved CPT codes
Subspecialty or Indication
Reason for Referral
- Chronic cough
Required Medical Records
- Chest X-ray within past 1 year
Requested CPT Codes
- 99205 x 1
- 31575 x 3
- 31622 x 3
- 99215 x 2
- 31625 x 3
- 31579 x 3
Locations Services Provided
- Sacramento
- Folsom
- Rocklin
Reason for Referral
- Obstructive sleep apnea
Required Medical Records
- Sleep study within past 2 years
Requested CPT Codes
- 99205 x 1
- 31575 x 3
- 92511 x 3
- 99215 x 2
Locations Services Provided
- Sacramento
- Folsom
- Rocklin
Reason for Referral
- Inspire Referral
Required Medical Records
- Sleep study within past 2 years
- AHI of 15-65 BMI less than 40
Requested CPT Codes
- 99205 x 1
- 31575 x 3
- 92511 x 3
- 99215 x 2
Locations Services Provided
- Sacramento
- Folsom
- Rocklin
Reason for Referral
- Cancer and Masses
Required Medical Records
- CT Scan
- MRI
- Ultrasound
- Petscan
- Pathology report
Requested CPT Codes
- 99205 x 1
- 99215 x 2
- 31575 x 3
- 43198 x 3
- 31622 x 3
- 31579 x 3
- 92511 x 3
- 76942 x 1
- 10005 x 1
- 10006 x 1
- 31231 x 3
Locations Services Provided
- Sacramento
- Folsom
- Rocklin
Reason for Referral
- Ear Tumor
Required Medical Records
- Head CT or MRI completed within past 6 months
Requested CPT Codes
- 99205 x 1
- 99215 x 2
- 92504 x 3
- 69210 x 3
- 69220 x 3
Locations Services Provided
- Sacramento
- Folsom
- Rocklin
Reason for Referral
- Hearing loss
- Tympanic Perforation
- Cholesteatoma
- Vertigo
Required Medical Records
- Audiogram within past 1 year
Requested CPT Codes
- 99205 x 1
- 99215 x 2
- 92504 x 3
- 69210 x 3
- 69220 x 3
Locations Services Provided
- Sacramento
- Folsom
- Rocklin
Reason for Referral
- Chronic Sinusitis
- Nasal Polyp
Required Medical Records
- CT or MRI of Sinus within past 1 year
Requested CPT Codes
- 99205 x 1
- 99215 x 2
- 92504 x 3
- 69210 x 3
- 69220 x 3
Locations Services Provided
- Sacramento
- Folsom
- Rocklin
Authorization Information
| Clinic Location | Tax ID | NPI |
|---|---|---|
| Hospital | 946036494 | 1710918545 |
| Sacramento | 680334324 | 1750374872 |
| Folsom | 680334324 | 1003896648 |
| Rocklin | 680334324 | 1518947167 |