Pediatric Cardiology
Use the guidelines on this page to refer patients to UC Davis Health for pediatric cardiology specialty care.
To help expedite your referral, include:
- Subspecialty or clinical indication
- Required clinical documentation
- Approved CPT codes
Subspecialty or Indication
Reason for Referral
- Pediatric Cardiology
Required Medical Records
- Previous progress notes
- EKG
- Echo
- CT Angio
- Cardiac MRI
- Cardiac Catheterization Report
- Operative notes if applicable
Requested CPT Codes
- 99245 x1
- 99215 x6
- 93000 x6
- 93010 x6
- 93303 x6
- 93306 x6
- 93320 x6
- 93325 x6
- 93224 x1
- 93225 x1
- 93226 x1
- 93227 x1
Location Services Provided
- UCDH Pediatric & Congenital Cardiac Care Clinic (Sacramento)
- Provider Outreach Clinics: UCDH Davis Clinic, UCDH Roseville Clinic, UCDH Chico Clinic, Redding (Mercy Family Center)
Reason for Referral
- Electrophysiology
- Adult Congenital Heart Disease
- Dr. Cortez in Cadillac clinic
Required Medical Records
- Previous progress notes
- EKG
- Echo
- CT Angio
- Cardiac MRI
- Cardiac Catheterization Report
- Operative notes if applicable
Requested CPT Codes
- 99245 x1
- 99215 x6
- 93000 x6
- 93010 x6
- 93303 x6
- 93306 x6
- 93320 x6
- 93325 x6
- 93224 x1
- 93225 x1
- 93226 x1
- 93227 x1
- 93296 x2
Reason for Referral
- Cardiac Catheterization
Required Medical Records
- Previous progress notes
- EKG
- Echo
- CT Angio
- Cardiac MRI
- Cardiac Catheterization Report
- Operative notes if applicable
Requested CPT Codes
- 99245 x1
- 99215 x6
- 93000 x6
- 93010 x6
- 93303 x6
- 93306 x6
- 93320 x6
- 93325 x6
Providers
Dr. Gary Raff, M.D., FACS
Dr. Timothy Pirolli, M.D.
Location: Cadillac Clinic
Reason for Referral
- Surgical Consult
Required Medical Records
- Previous progress notes
- EKG
- Echo
- Cardiology progress notes
- Cardiac Catheterization Report
Requested CPT Codes
- 99245 x1
- 99215 x6
- 93000 x6
- 93010 x6
- 93303 x6
- 93306 x6
- 93320 x6
- 93325 x6
Authorization Information
| Clinic Location | Tax ID | NPI |
|---|---|---|
| Hospital | 946036494 | 1710918545 |
| Sacramento | TBD | TBD |
| Davis | 680344702 | 1912987553 |
| Roseville | 680344702 | 1750318390 |
| Chico | TBD | TBD |
| Redding (Mercy Partnership) | 562360411 | 1477671535 |