CD16A (FCGR3A) F158V Polymorphism Analysis

Test Code
34493


CPT Codes
81479

Preferred Specimen
5 mL whole blood collected in an EDTA (lavender-top) tube, or an acid citrate dextrose ACD solution A or B (yellow-top) tube


Minimum Volume
3 mL whole blood • 20 uL extracted DNA


Other Acceptable Specimens
Whole blood collected in a sodium heparin (green-top) tube • 100 uL genomic DNA sample (extracted at CLIA approved lab) collected in a microcentrifuge tube


Instructions
Do not reject extracted DNA sample. Submitted extracted DNA must be extracted from a CLIA approved lab. Normal phlebotomy procedure. Specimen stability is crucial. Store and ship ambient immediately. Do not freeze.

Acceptable: Whole blood collected in a sodium heparin (green-top) tube is acceptable but not recommended.


Transport Temperature
Room temperature


Specimen Stability
Whole blood
Room temperature: 8 days
Refrigerated: 30 days
Frozen: Unacceptable

Extracted DNA
Room temperature: 30 days
Refrigerated: 1 year
Frozen: 2 years


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples received frozen • Clotted specimen


Methodology
Polymerase Chain Reaction (PCR) • SNaPshot

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Wednesday, Saturday Morning
Report available: 6 Days


Reference Range
CD16A (FCGR3A) F158V Not detected
F158 Not detected
V158 Not detected


Clinical Significance
CD16A (FCGR3A) F158V Polymorphism Analysis - The CD16A (FCGR3A) gene encodes for an Fc-gamma receptor on human white blood cells which plays an important role in antibody dependent cell-mediated cytotoxicity (ADCC). In cancer patients, differential clinical response to therapeutic monoclonal antibodies has been reported to correlate with the genotype of the CD16A (FCGR3A) gene (PMID: 23286345, PMID: 30374078, PMID 33480963). The different genotypes (V/V, F/V, or F/F) result from a single nucleotide polymorphism, dbSNP rs396991, where a T>G substitution changes phenylalanine (F) to valine (V) at position 158 (P08637 VAR 003960).




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.