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2801 Atlantic Ave.
Long Beach, CA 90806

Referring Doctors

We thank you for referring your patients to the Lung & Allergy Institute of Los Angeles.

Please see our guidelines below for referring pediatric patients to our facility for specific conditions and diseases.


Pediatric Allergy & Immunology Referral Guidelines

Allergic Rhinitis [ICD-9 Code: 477.0, 477.2, 477.8]

Refer patients with allergic rhinitis to a specialist when:

  • The patient has persistent rhinoconjunctivitis that is unresponsive to medications (e.g. nasal steroids) and simple environmental measures (e.g. allergy proof encasements.)
  • The patient has polyps with co-morbid conditions, such as asthma or sinusitis.

Anaphylaxis [ICD-9 Code: 995.0]

Refer patients with anaphylaxis to a specialist when:

  • The etiology of the anaphylaxis is unknown or the reaction was particularly severe.
  • The family wants to learn more about other potential allergies.
  • The patient has food, drug, exercise induced or venom induced anaphylaxis.

For the pre-referral workup, please prescribe EpiPen for treatment of anaphylaxis.

Infant Apnea [ICD-9 Code: 786.03]

Refer patients with infant apnea to a specialist when:

  • The patient is less than one year old.

For the pre-referral workup, please include neonatal record, pneumogram if performed and chest x-ray images.

Apnea (Child > 1 Y/O) [ICD-9 Code: 786.03]

Refer patients with apnea to a specialist when:

  • The child is greater than one year old.

For the pre-referral workup, please include chest x-ray images, soft tissue neck x-ray and polysomnogram.

Asthma [ICD-9 Code: 493.00]

Refer patients with asthma to a specialist when:

  • The child has been hospitalized for the condition.
  • The child has more than two systemic steroids per year.
  • The child is missing too much school.
  • The child is under two years old.

For the pre-referral workup, please include IgE, Southern California RAST Panel and chest x-ray.

Bronchopulmonary Dysplasia [ICD-9 Code: 770.70]

Refer patients with bronchopulmonary dysplasia to a specialist when:

  • The patient is O2 dependent.
  • There is recurrent wheezing.
  • The patient has been hospitalized for the condition

For the pre-referral workup, please include growth curve, neonatal discharge summary, nebulizer and chest x-ray images.

Chronic Cough [ICD-9 Code: 786.20]

Refer patients with a chronic cough to a specialist when:

  • The patient is being treated with bronchodilators, oral steroids and antibiotics.

For the pre-referral workup, please include chest x-ray images, Southern California RAST Panel, Mycoplasma Titre and Pertussis PCR (Polymerase Chain Reaction.)

Cystic Fibrosis [ICD-9 Code: 277.0]

Refer patients with cystic fibrosis to a specialist when:

  • Newborn screening confirms a diagnosis.

For the pre-referral workup, please include growth curve and order sweat test at St. Joseph’s or Mission Hospital.

Respiratory Syncytial Virus [ICD-9 Code: V04.82]

Refer patients with respiratory syncytial virus to a specialist when:

  • Infants with chronic lung disease are less than two years old and have been on oxygen, diuretics and inhaled corticosteroids within the last six months.
  • Infants with congenital heart disease or pulmonary hypertension are less than two years old and require diuretics, digoxin, enalapril, sildenafil or other cardiac drugs.
  • Healthy premature infants 28 weeks or less and under one year old.
  • Healthy premature infants 28 weeks plus or less than 32 weeks and under six months old.
  • Healthy premature infants 32 weeks plus or less than 35 weeks who are in infant daycare.
  • Healthy premature infants 32 weeks plus or less than 35 weeks who are less than six months of age and have one or more siblings younger than five years old living in the child’s household.
  • Congenital abnormalities of the airways or severe neuromuscular disease less than 35 weeks gestational age.
  • Other infants at high risk for hospitalization with RSV such as tracheostomy, congenital airway abnormalities, immune deficiency, neuromuscular weakness, weak cough or other conditions.
  • Neuromuscular disease.
  • Poor airway.

Recurrent Pneumonia [ICD-9 Code: V12.61]

Refer patients with recurrent pneumonia to a specialist when:

  • They experience a second case of pneumonia.

For the pre-referral workup, please include chest x-ray, quantitative immune globulins, IgE, growth curve, discharge summaries and Southern California RAST Panel.