MYELOID NEOPLASM (AML,MDS), NGS

Test Code
LAB1231014


CPT Codes
81450

Includes
The 50 genes NGS-WVUH-Molecular Diagnostic Myeloid Panel (MD-MP) is with an emphasis on genes with diagnostic, prognostic, and therapeutic significance are listed below. This assay is validated for SNV’s and small in/del for the targeted genes.
ABL1: NM_005157 exon: 4-10; ANKRD26: NM_014915 exon:1(c.-113-c.-134); ASXL1: NM_015338.5 exon:1-13; ASXL1:NM_001164603.1  exon:5; BCOR: NM_017745 exon:2-15; BCOR:NM_001123385  exon:8; BCORL1:NM_021946  exon:1-12; BRAF:NM_004333  exon:3-15; CALR:NM_004343 exon:8-9; CBL:  NM_005188 exon:2-16; CBLB:  NM_170662 exon:3,9-10; CEBPA:NM_004364 exon:1; CSF3R:NM_156039  exon:17; CSF3R:NM_172313  exon:10,18; CSF3R:NM_000760  exon:14-16; CUX1: NM_001202543 exon:15-24; CUX1:NM_001913  exon:1-23; CUX1: NM_181552 exon:1; DDX41: NM_016222 exon: 1-17; DNMT3A:  NM_022552 exon: 2-3,5-23; DNMT3A: NM_153759 exon: 1-2; DNMT3A: NM_175630 exon:4; ETNK1: NM_018638 exon:3; ETV6:NM_001987 exon:1-8; EZH2: NM_004456 exon: 2-20; FLT3: NM_004119 exon:8-21; GATA1: NM_002049 exon:2; GATA2: NM_032638 exon:2-6; GNAS: NM_000516 exon: 8-11; IDH1: NM_005896 exon:3-4; IDH2: NM_002168 exon: 4-6; JAK2: NM_004972 exon:12-25; KDM6A: NM_021140 exon: 1-29; KDM6A: NM_001291415 exon:14; KIT: NM_000222 exon: 1-2,5,8-15,17-18; KMT2A: NM_005933 exon: 1-36; KMT2A: NM_001197104 exon: 14; KRAS: NM_004985 exon: 2-4; MPL: NM_005373 exon:10,12; NF1: NM_000267 exon:1-57; NF1: NM_001128147 exon:15; NF1: NM_001042492 exon: 31; NPM1: NM_002520 exon: 11; NRAS: NM_002524 exon: 2-5; PHF6: NM_032335 exon:2-8; PHF6: NM_001015877 exon:10; PHF6: NM_032458 exon:9; PPM1D: NM_003620 exon:6; PTPN11: NM_002834 exon:3,4,7,8,12,13; PTPN11: NM_080601 exon:11; RAD21: NM_006265 exon:2-14; RUNX1: NM_001754 exon:2-3,5-9; RUNX1: NM_001122607 exon:1,5; SETBP1: NM_015559 exon:4 (p.799-p.950); SF3B1: NM_012433 exon:13-21; SH2B3: NM_005475 exon:2-8; SMC1A: NM_001281463 exon:2; SMC3: NM_005445 exon:10,13,19,23,25,28; SRSF2: NM_003016 exon:1-2; STAG2: NM_006603 exon:2-33; STAG2: NM_001042749 exon:32; TET2: NM_001127208 exon:4-11; TET2: NM_017628 exon:3; TP53: NM_000546 exon:1-11; TP53: NM_001276696 exon:10; TP53: NM_001276695 exon:10; U2AF1: NM_006758  exon:2,6,7; U2AF1:  NM_001025204 exon:6; U2AF2: NM_007279 exon:1-12; WT1: NM_000378 exon:1-9; WT1: NM_001198552 exon:8; ZRSR2: NM_005089 exon:1-11


Preferred Specimen
5 mL bone marrow collected in an EDTA (lavender-top) tube having lesions cells

 ≥20% or a minimum

≥10% determined either by morphology (blasts), or flow cytometry


Minimum Volume
3mL bone marrow collected in EDTA
3mL whole blood collected in EDTA


Other Acceptable Specimens
5 mL Whole blood collected in an EDTA (lavender-top) tube or extracted DNA minimum 200 ng

(5-10 ng/ μL)


Transport Temperature
Refrigerated, 2-8°C


Specimen Stability
Whole blood or bone marrow (EDTA)
  • Room temperature: 2 days
  • Refrigerated: 7 days
  • Frozen: Unacceptable
Genomic DNA (once sample has been extracted) can be stored at +2-8°C for one week or -20°C for 1 month


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
  • Non-validated sample type
  • Specimen does not meet criteria for: minimum volume, no label in container, mismatching name/MRN/pathology number on specimen requisition, collection, and storage; frozen whole blood or marrow; leaking tube; clotted blood or marrow; severely hemolyzed and visibly degraded specimen; contaminated specimen; contains suspicious foreign material, sample mix-up.
  • The stability limit for Blood and Bone Marrow is 7 days, samples beyond this limit will be rejected
  • NOTE: Heparinized samples are not accepted. Heparin may act as an inhibitor of PCR.


Methodology
Next Generation Sequencing (NGS)

Setup Schedule
Weekly, (Samples received by Friday, 12:30pm will be completed with the next run.)


Reference Range
No clinically reportable variant detected


Performing Laboratory
West Virginia University Hospital, Inc.


Additional Information
Test Change Notification


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.