Physician Referral Guide

We are proud to have talented pediatric specialists, who not only focus on breakthrough treatments and advanced technologies in their specialty — but also practice with family-centered care in mind.

Referring primary care physicians, including pediatricians, family medicine and OB/GYNs can feel confident knowing their patients will receive comprehensive specialized care by our experts.

Refer to a Pediatric Specialist

To refer your patient to a Miller Children’s & Women’s specialist, follow the instructions below.

  1. Download our universal referral form for all pediatric specialties. Download form.
  2. Please *fax the completed form along with the following information:
    • Medical Records and Visit Notes from PCP (if not already in Epic)
    • Growth Chart (if applicable)
    • Diagnostic Testing/Labs/Imaging, etc.
    • Copy of front and back of insurance card or eligibility
    • Authorization if needed from health plan (specialty specific authorization codes can be found in the menu below).

*Fax numbers per specialty can be found in the menu below. 

For questions, call our Navigation Center at (714) 377-6993. When prompted, press 2 for physician only support. If our Navigation Center team is unable to answer your question, they will communicate with our clinic staff, who will contact you. 

Specialty Referral Guidelines

We’ve developed guidelines to help you through the process of referring to Miller Children's & Women's specialists. Please follow the instructions below to ensure your patient’s appointment is scheduled in a timely manner and their first visit is smooth and productive.

Behavioral/Neurodevelopmental (including Fragile X)
Locations & Fax Numbers:
Additional Requirements to Refer to Behavioral/Neurodevelopmental:

A behavioral/neurodevelopmental consult includes psychological testing and a physician visit in most cases. Visits need two authorizations, one for the provider and one for testing. 

Provider Authorization Codes

  • 99205

Psychological Testing Assessment Authorization Codes to Miller Children's & Women's Hospital Long Beach

  • 90791


Learn more about our Stramski Children's Developmental Center. 

Cardiology
Locations & Fax Numbers:
Additional Requirements to Refer to Cardiology:

A cardiology consult includes a EKG and Echocardiogram in most cases. Visits need two authorizations, one for the provider and one for the facility. 

Provider Authorization Codes

  • 99205
  • 93010
     

Imaging/Testing Authorization Codes to Miller Children's & Women's Hospital Long Beach

  • 93000
  • 93303 (Congenital) or 93306 (Non-Congenital)
  • 93320
  • 93325
  • 93356


Learn more about our Children's Heart Institute. 

Congenital Cardiac Surgery
Locations & Fax Numbers:
Additional Requirements to Refer to Congenital Cardiac Surgery:

A congenital cardiac surgery consult includes a EKG and Echocardiogram in most cases. Visits need two authorizations, one for the provider and one for the facility. 

Provider Authorization Codes

  • 99205
  • 93010
     

Imaging/Testing Authorization Codes to Miller Children's & Women's Hospital Long Beach

  • 93000
  • 93303 (Congenital) or 93306 (Non-Congenital)
  • 93320
  • 93325
  • 93356
     

Learn more about our Children's Heart Institute. 

Craniofacial
Locations & Fax Numbers:
Learn more about our Craniofacial Center.
Cystic Fibrosis
Locations & Fax Numbers:
Additional Requirements to Refer to Cystic Fibrosis:

A cystic fibrosis consult includes pulmonary function testing in most cases. Visits need two authorizations, one for the provider and one for testing. 

Provider Authorization Codes

  • 99205
  • 94760
     

Pulmonary Function Testing Authorization Codes to Miller Children's & Women's Hospital Long Beach

  • 94010
  • 83036


Learn more about our Cystic Fibrosis Center. 

Endocrinology/Diabetes
Locations & Fax Numbers:
Additional Requirements to Refer to Endocrinology:

An endocrinology consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205

Learn more about our Diabetes Program and Endocrine Center. 

ENT/Otolaryngology
Locations & Fax Numbers:
Additional Requirements to Refer to ENT:

An ENT consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our ENT Program. 

Gastroenterology, Hepatology & Nutrition
Locations & Fax Numbers:
Additional Requirements to Refer to GI:

An GI consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our Gastroenterology & Nutrition Center.

Genetics
Locations & Fax Numbers:


Learn more about our Genetics Center.

Hematology/Oncology
Locations & Fax Numbers:
Additional Requirements to Refer to Hematology/Oncology:

A hematology/oncology consult includes a physician visit and blood tests (CBC and reticulocyte count) in most cases. Visits need two authorizations, one for the provider and one for blood tests. 

Provider Authorization Codes

  • 99205

Testing Authorization Codes to Miller Children's & Women's Hospital Long Beach

  • 85025
  • 85044


Learn more about our Jonathan Jaques Children's Cancer Institute. 

Hypertonicity
Locations & Fax Numbers:


Learn more about our Hypertonicity Center. 

Infectious Disease
Locations & Fax Numbers:
Additional Requirements to Refer to Infectious Disease:

An infectious disease consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our Infectious Disease Center.

Metabolic
Locations & Fax Numbers:


Learn more about our Metabolic Center. 

Nephrology/Renal
Locations & Fax Numbers:
Additional Requirements to Refer to Nephrology:

A nephrology consult includes a physician visit, as well as urinalysis and urodynamic procedures in some cases. Visits need two authorizations, one for the provider and one for testing/procedures. 

Provider Authorization Codes

  • 99205


Testing Authorization Codes to Miller Children's & Women's Hospital Long Beach

  • 51741
  • 51798
  • 81002

Learn more about our Nephrology/Renal Center.

Neurology
Locations & Fax Numbers:
Additional Requirements to Refer to Neurology:

A neurology consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our Neurology Center.

Neurosurgery
Locations & Fax Numbers:
Additional Requirements to Refer to Neurosurgery:

A neurosurgery consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our Neurosurgery Center.

Orthopedics
Locations & Fax Numbers:
Additional Requirements to Refer to Orthopedics:

An orthopedics consult includes a physician visit, as well as urinalysis and urodynamic procedures in some cases. Visits need two authorizations, one for the provider and one for testing/procedures. 

Provider Authorization Codes

  • 99204


For fractures and injuries, include authorization code for three view x-ray of the injured area. 

For spine and hip disorders, include authorization code for EOS Imaging. 

Learn more about our Orthopedic Center. 

Plastic Surgery
Locations & Fax Numbers:
Additional Requirements to Refer to Plastic Surgery:

A plastic surgery consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our Plastic Surgery Program.

Pulmonology
Locations & Fax Numbers:
Additional Requirements to Refer to Pulmonology:

A pulmonology consult includes pulmonary function testing in most cases. Visits need two authorizations, one for the provider and one for testing. 

Provider Authorization Codes

  • 99205


Pulmonary Function Testing Authorization Codes to Miller Children's & Women's Hospital Long Beach

  • 94010


Learn more about our Children's Pulmonary Institute. 

Allergy/Immunology
Locations & Fax Numbers:
Additional Requirements to Refer to Allergy/Immunology:

An allergy/immunology consult includes allergy testing in most cases. Visits need two authorizations, one for the provider and one for testing. 

Provider Authorization Codes

  • 99205


Allergy Testing Authorization Codes to Miller Children's & Women's Hospital Long Beach


Learn more about our Children's Pulmonary Institute. 

Rehabilitation
Locations & Fax Numbers:
Additional Requirements to Refer to Rehabilitation:

A rehabilitation consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our Rehabilitation Center. 

Rheumatology
Locations & Fax Numbers:
Additional Requirements to Refer to Rheumatology:

A rheumatology consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our Rheumatology Center. 

Sleep Disorders
Locations & Fax Numbers:
Additional Requirements to Refer to Sleep Disorders:

A rheumatology consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our Sleep Disorders Center. 

General Surgery
Locations & Fax Numbers:
Additional Requirements to Refer to General Surgery:

A general surgery consult just needs one authorization for the provider. 

Provider Authorization Codes

  • 99205


Learn more about our General Surgery Program. 

Urology
Locations & Fax Numbers:
Additional Requirements to Refer to Urology:

A urology consult includes a physician visit, as well as urinalysis and urodynamic procedures in some cases. Visits need two authorizations, one for the provider and one for testing/procedures. 

Provider Authorization Codes

  • 99205
     

Testing Authorization Codes to Miller Children's & Women's Hospital Long Beach

  • 51741
  • 51798
  • 81002


Learn more about our Urology Center.

Physician Referral Guide