Clinical Services – For Medical Professionals

To refer a patient for a magnetoencephalogram (MEG):

  1. Complete the MEG Referral Cover Sheet (pdf)
  2. Obtain medical information to send:
    • Patient’s Demographic and Insurance Information
    • Patient Insurance Card
    • Authorization for Magnetoencephalogram if required
    • Recent MRI Brain Reports
    • Recent Video EEG Monitoring Reports (if available)
    • Recent PET and/or CT Scan Reports (if available)
  3. Email MEG Referral Cover Sheet and all pertinent medical information (step 2) to: ucsf.bil@ucsf.edu
  4. If the patient requires pre-authorization, identify the procedure by CPT codes to initiate pre-authorization:
    • MEG/MSI Standard Presurgical Epilepsy Study
      CPT 95965, 95812, 95966, 95967
  5. Tax Number and/or NPI for billing purposes:
    • UCSF Biomagnetic Imaging Lab Tax ID #: 94-3281657
    • UCSF Biomagnetic Imaging Lab NPI#: 1639278369
  6. MRI brain images (DICOM files) are required (if MRI from outside UCSF):
    • High-resolution 3D MPRAGE or SPGR T1-weighted scan, or 3D FSE T2-weighted scan.
    • NOT a multi-angle or oblique scan.
    • Images should have black space around the whole head with coverage of fiducial landmarks (inion, bilateral pre-auricular points & tragi, etc.)
    • Scan must be within the prior two years for patients 22 and older, within the prior year for patients ages 12-21, and within the prior six months for patients under 12. If a patient has had brain surgery since their most recent scan, they will also need an updated scan prior to MEG.

 

Send high-resolution 3D images through FedEx or UPS express, or electronically if possible.

For FedEx please send a CD copy to:

UCSF Biomagnetic Imaging Lab
513 Parnassus Ave, Room S-362
San Francisco, CA 94143-0628

If electronic transfer is possible, please transfer the patient’s MRI Brain Images to: 

UCSF Radiology Referral Box

To schedule an MRI at UCSF during the same visit, please refer to the scheduling instructions and fax the Radiology Order Form to (415) 353-7299, indicating "3T Epilepsy protocol" and "urgent order." MEG date should be finalized first.

After we have received all required materials, we will contact the patient directly for MEG scheduling.

If you have any questions, please feel free to contact us at ucsf.bil@ucsf.edu or call us at (415) 476-6888. You can also fax us at (415) 502-4302.