
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