CEBPA Mutation Analysis

Test Code
90812


CPT Codes
81218

Preferred Specimen
5 mL whole blood collected in an EDTA (lavender-top) tube


Minimum Volume
2 mL


Other Acceptable Specimens
Bone marrow collected in a sodium heparin (green-top) tube • Formalin-fixed paraffin embedded tissue • Cell pellet


Instructions
FFPE is a validated specimen type; however, it is not routinely performed. Do not freeze.

Cell Pellet Instructions: This assay is also designed for the remnant cell pellet from Cytogenetics. The cell pellet usually fixed should be transported to the laboratory as soon as possible at room temperature or refrigerated. Please provide a copy of the Cytogenetics report.


Transport Temperature
Room temperature


Specimen Stability
Blood or Bone Marrow
Room temperature: 7 days
Refrigerated: 7 days
Frozen: Unacceptable

Paraffin Block
Room temperature: Indefinitely
Refrigerated: Indefinitely
Frozen: See Instructions


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Received frozen • Decalcified bone marrow biopsy samples are not suitable for analysis


Methodology
Next Generation Sequencing

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

Setup Schedule
Set up: Tues, Thurs, Sat a.m.; Report available: 3-6 days


Reference Range
Not detected


Clinical Significance
The CEBPA gene, a myeloid transcription factor, is mutated in a subset of acute myeloid leukemia (AML), particularly those with chromosome analyses showing normal diploid karyotype, Cytogenetically Normal (CN). CN-AML that have CEBPA mutations show favorable outcome compared to other groups of CN-AML.
Testing for CEBPA mutation, along with NPM1 (test code 16158-NPM (Exon 12) Mutation Analysis, Cell-based) is recommended for all patients with CN-AML.




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.