Approval Required

Yes, testing of UCSF patients requires approval by Microbiology in consultation with Neurology (UCSF CSF mNGS) or Infectious Disease (UCSF plasma mNGS).
 
Sendout testing of UCSF patients to Delve Bio for CSF mNGS requires advance Neurology approval.
 
Outreach testing for non-UC patients by UCSF and clinical mNGS testing of body fluids and tissues other than CSF / plasma are not currently available at this time.

Available Stat

No

Performing Lab

Microbiology

Performed

Weekdays

Methodology

mNGS

Reported

1-2 weeks

Additional Information

Test results are interpreted by the Microbiology lab director and may be discussed with treating physicians as part of an ad hoc Clinical Microbial Sequencing Board (CMSB).

For inquiries, please call the Clinical Microbiology Lab at 415-353-1268.

Synonyms

  • metagenomic next-generation sequencing
  • mNGS
  • agnostic sequencing
  • untargeted sequencing
  • mNGS Path Dx

Sample Type

CSF, EDTA plasma (EDTA whole blood must be centrifuged and plasma separated from red cells within 6 hours of collection). 

Collect

CSF: Sterile tube
Plasma: Lavender top tube. A dedicated tube is strongly preferred.

Preferred Volume

2ml

Minimum Volume

1ml

Stability (from collection to initiation)

CSF: Room temperature 6 hours or refrigerated 6 days but prefer to freeze within 6 hours; stable frozen at -25C or -70C for up to 1 year.

Plasma: Room temperature up to 6 hours for whole blood prior to centrifugation; plasma refrigerated up to 7 days; stable frozen at -25C or -70C for up to 1 year.

Unacceptable Conditions

Samples submitted in incorrect tube, grossly hemolyzed samples

Performing Lab

Microbiology

Specimen Preparation

UCSF: Freeze at -70ºC on receipt at China Basin. Other sites: Freeze sample and ship to China Basin microbiology. Aliquot (if necessary) only under sterile conditions.

Preferred Volume

2ml

Minimum Volume

1ml

Unacceptable Conditions

Samples submitted in incorrect tube, grossly hemolyzed samples

Stability (from collection to initiation)

CSF: Room temperature 6 hours or refrigerated 6 days but prefer to freeze within 6 hours; stable frozen at -25C or -70C for up to 1 year.

Plasma: Room temperature up to 6 hours for whole blood prior to centrifugation; plasma refrigerated up to 7 days; stable frozen at -25C or -70C for up to 1 year.

Reference Interval

No microorganisms detected

Additional Information

Test results are interpreted by the Microbiology lab director and may be discussed with treating physicians as part of an ad hoc Clinical Microbial Sequencing Board (CMSB).

For inquiries, please call the Clinical Microbiology Lab at 415-353-1268.

CPT Codes

87999

LDT or Modified FDA

Yes

Approval Required

Yes, testing of UCSF patients requires approval by Microbiology in consultation with Neurology (UCSF CSF mNGS) or Infectious Disease (UCSF plasma mNGS).
 
Sendout testing of UCSF patients to Delve Bio for CSF mNGS requires advance Neurology approval.
 
Outreach testing for non-UC patients by UCSF and clinical mNGS testing of body fluids and tissues other than CSF / plasma are not currently available at this time.

Available Stat

No

Performing Lab

Microbiology

Performed

Weekdays

Methodology

mNGS

Collect

CSF: Sterile tube
Plasma: Lavender top tube. A dedicated tube is strongly preferred.

Sample Type

CSF, EDTA plasma (EDTA whole blood must be centrifuged and plasma separated from red cells within 6 hours of collection). 

Preferred Volume

2ml

Minimum Volume

1ml

Unacceptable Conditions

Samples submitted in incorrect tube, grossly hemolyzed samples

Specimen Preparation

UCSF: Freeze at -70ºC on receipt at China Basin. Other sites: Freeze sample and ship to China Basin microbiology. Aliquot (if necessary) only under sterile conditions.

Reference Interval

No microorganisms detected

Synonyms

  • metagenomic next-generation sequencing
  • mNGS
  • agnostic sequencing
  • untargeted sequencing
  • mNGS Path Dx

Stability (from collection to initiation)

CSF: Room temperature 6 hours or refrigerated 6 days but prefer to freeze within 6 hours; stable frozen at -25C or -70C for up to 1 year.

Plasma: Room temperature up to 6 hours for whole blood prior to centrifugation; plasma refrigerated up to 7 days; stable frozen at -25C or -70C for up to 1 year.

Reported

1-2 weeks

Additional Information

Test results are interpreted by the Microbiology lab director and may be discussed with treating physicians as part of an ad hoc Clinical Microbial Sequencing Board (CMSB).

For inquiries, please call the Clinical Microbiology Lab at 415-353-1268.

CPT Codes

87999

LDT or Modified FDA

Yes
Ordering

Approval Required

Yes, testing of UCSF patients requires approval by Microbiology in consultation with Neurology (UCSF CSF mNGS) or Infectious Disease (UCSF plasma mNGS).
 
Sendout testing of UCSF patients to Delve Bio for CSF mNGS requires advance Neurology approval.
 
Outreach testing for non-UC patients by UCSF and clinical mNGS testing of body fluids and tissues other than CSF / plasma are not currently available at this time.

Available Stat

No

Performing Lab

Microbiology

Performed

Weekdays

Methodology

mNGS

Reported

1-2 weeks

Additional Information

Test results are interpreted by the Microbiology lab director and may be discussed with treating physicians as part of an ad hoc Clinical Microbial Sequencing Board (CMSB).

For inquiries, please call the Clinical Microbiology Lab at 415-353-1268.

Synonyms

  • metagenomic next-generation sequencing
  • mNGS
  • agnostic sequencing
  • untargeted sequencing
  • mNGS Path Dx
Collection

Sample Type

CSF, EDTA plasma (EDTA whole blood must be centrifuged and plasma separated from red cells within 6 hours of collection). 

Collect

CSF: Sterile tube
Plasma: Lavender top tube. A dedicated tube is strongly preferred.

Preferred Volume

2ml

Minimum Volume

1ml

Stability (from collection to initiation)

CSF: Room temperature 6 hours or refrigerated 6 days but prefer to freeze within 6 hours; stable frozen at -25C or -70C for up to 1 year.

Plasma: Room temperature up to 6 hours for whole blood prior to centrifugation; plasma refrigerated up to 7 days; stable frozen at -25C or -70C for up to 1 year.

Unacceptable Conditions

Samples submitted in incorrect tube, grossly hemolyzed samples
Processing

Performing Lab

Microbiology

Specimen Preparation

UCSF: Freeze at -70ºC on receipt at China Basin. Other sites: Freeze sample and ship to China Basin microbiology. Aliquot (if necessary) only under sterile conditions.

Preferred Volume

2ml

Minimum Volume

1ml

Unacceptable Conditions

Samples submitted in incorrect tube, grossly hemolyzed samples

Stability (from collection to initiation)

CSF: Room temperature 6 hours or refrigerated 6 days but prefer to freeze within 6 hours; stable frozen at -25C or -70C for up to 1 year.

Plasma: Room temperature up to 6 hours for whole blood prior to centrifugation; plasma refrigerated up to 7 days; stable frozen at -25C or -70C for up to 1 year.
Result Interpretation

Reference Interval

No microorganisms detected

Additional Information

Test results are interpreted by the Microbiology lab director and may be discussed with treating physicians as part of an ad hoc Clinical Microbial Sequencing Board (CMSB).

For inquiries, please call the Clinical Microbiology Lab at 415-353-1268.
Administrative

CPT Codes

87999

LDT or Modified FDA

Yes
Complete View

Approval Required

Yes, testing of UCSF patients requires approval by Microbiology in consultation with Neurology (UCSF CSF mNGS) or Infectious Disease (UCSF plasma mNGS).
 
Sendout testing of UCSF patients to Delve Bio for CSF mNGS requires advance Neurology approval.
 
Outreach testing for non-UC patients by UCSF and clinical mNGS testing of body fluids and tissues other than CSF / plasma are not currently available at this time.

Available Stat

No

Performing Lab

Microbiology

Performed

Weekdays

Methodology

mNGS

Collect

CSF: Sterile tube
Plasma: Lavender top tube. A dedicated tube is strongly preferred.

Sample Type

CSF, EDTA plasma (EDTA whole blood must be centrifuged and plasma separated from red cells within 6 hours of collection). 

Preferred Volume

2ml

Minimum Volume

1ml

Unacceptable Conditions

Samples submitted in incorrect tube, grossly hemolyzed samples

Specimen Preparation

UCSF: Freeze at -70ºC on receipt at China Basin. Other sites: Freeze sample and ship to China Basin microbiology. Aliquot (if necessary) only under sterile conditions.

Reference Interval

No microorganisms detected

Synonyms

  • metagenomic next-generation sequencing
  • mNGS
  • agnostic sequencing
  • untargeted sequencing
  • mNGS Path Dx

Stability (from collection to initiation)

CSF: Room temperature 6 hours or refrigerated 6 days but prefer to freeze within 6 hours; stable frozen at -25C or -70C for up to 1 year.

Plasma: Room temperature up to 6 hours for whole blood prior to centrifugation; plasma refrigerated up to 7 days; stable frozen at -25C or -70C for up to 1 year.

Reported

1-2 weeks

Additional Information

Test results are interpreted by the Microbiology lab director and may be discussed with treating physicians as part of an ad hoc Clinical Microbial Sequencing Board (CMSB).

For inquiries, please call the Clinical Microbiology Lab at 415-353-1268.

CPT Codes

87999

LDT or Modified FDA

Yes