From Outside of UCSF
Transgender Specialty Care
Hormone replacement therapy, non-surgical consults, and other services
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For patients 18 years and older, please send your referral and insurance authorization to:
UCSF Medical Center, Attn: Dr. Madeline Deutsch
fax (415) 353-3399.
Please be sure to obtain authorization for the following visit codes: 99204, 99213, and 99214.
- For patients under the age of 18, please send your referral and insurance authorization to:
UCSF Child and Adolescent Gender Center Clinic, Attn: Dr. Stephen Rosenthal
fax: (415) 476-8214.
For questions about referrals for patients under the age of 18, please call (415) 353-7337.
Gender Affirming Surgery
“Top” surgery, “bottom” surgery, and facial feminization
- Please send your referral, medical clearance letter, and insurance authorization to:
UCSF Medical Center, Attn: Transgender Care Navigation
fax (415) 353-3399.
Please be sure to obtain authorization for office visit codes 99245 and 99244, and the appropriate procedure CPT codes as below:
- Bilateral Breast Augmentation: 19325, 19325-50
- Bilateral Mastectomy and Arreola Reconstruction (Top Surgery): 19303, 19403-50, 19350, 19350-50
From Within UCSF
To refer a patient for any transgender-specific care or services, or if you require assistance understanding what is available, or if you would like our Transgender Care Navigator to contact the patient directly, please place a referral in ApEX to "Transgender Care Navigation" (REF450). The Navigator will review your request, and when relevant the patient's insurance status, and either handle the request directly, or respond to you with further instructions and information.
Please note that you should search under the "facility list" tab to be sure the referral appears in ApEX.
