REFERRING PHYSICIANS

To refer a new patient and schedule an appointment call (312) 996-6555.
Fax: (312) 996-4910

General Otolaryngology

(ear, nose & throat)

When referring a new patient, please provide the patient his or her last three clinic notes to bring to the visit.

Facial Plastic Surgery

( scar revision, rhinoplasty, blepharophasty, rhytidectomy, endoscopic brow lift, Botox, Restylane, Juvederm )

If sending an Authorization, please approve:

• The clinic visit
• Nasal Endoscope (CPT codes, 31231,31237)

Voice Care

( laryngeal care, speech and swallowing )

If sending an Authorization, please approve:

• The clinic visit
• Videostrobscopy (CPT code 31579)
• Provide hard copies of CT scans or MRI scans of neck

Sinus & Nasal Allergy

( rhinology, sinus surgery, nasal surgery )

If sending an Authorization, please approve:

• The clinic visit
• Nasal Endoscope (CPT codes, 31231, 31237)

Otolaryngology – Head & Neck Surgery

(snoring, sleep apnea, thyroid masses and goiters, salivary gland tumors, pediatrics)

If sending an Authorization, please approve:

• The clinic visit
• Laryngoscope (CPT code 31575)
• Nasal Endoscope (31231, 31237)
• Videostroboscopy (31579)
• Audiogram (92549,92548,92585,92587,92588)
• Provide hard copies of CT scans of the neck/sinus and or MRI scans of neck/IAC brain

Head & Neck Cancer

( squamous cell carcinoma, thyroid cancer, benign lesions, salivary gland disorder )

If sending an Authorization, please approve:

• The clinic visit
• Laryngoscope (CPT code 31575)
• Nasal Endoscope (31231,31237)
• Videostroboscopy (31579)

Otology & Neurotology

(hearing, balance, dizziness)

If sending an Authorization, please approve:

• The clinic visit
• Audiogram (CPT codes 92546, 92548, 92585, 92587, 92588)
• Dizziness vestibular (CPT codes 92541, 92542, 92543,
  92544, 92545, 92546, 92585)
• Physical Therapy (CPT codes 97001, 97002)
• Provide hard copies of MRI scans of the ear/temporal bone