CYSTIC FIBROSIS, CFTR GENE SQUENCING-139 VARIENTS (NGS)

Test Code
LAB12397


Alias/See Also
CF


CPT Codes
81220

Includes
Please see CF-Variant list below.


Preferred Specimen
One, 4mL whole blood collected in an EDTA (lavender-top) tube


Minimum Volume
3mL whole blood in an EDTA (lavender-top) tube


Other Acceptable Specimens
None


Transport Temperature
Refrigerated


Specimen Stability
Whole blood specimens can be stored for up to 30 days at 2-8°C


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples will be rejected if collected in a non-validated sample type, unlabeled container, clotted, leaking, and/or frozen. Heparinized samples are NOT accepted.


Methodology
Next Generation Sequencing (NGS)

Setup Schedule
This assay requires batch testing. Turn-around will be 17-21 days. For positive cases, preliminary results will be released and a final report will be issued after results are confirmed.


Reference Range
NO Clinically Relevant Variant(s) Detected


Clinical Significance
Indication: General routine preconception/reproductive screening.

CF Variant List:
HGNC: ID Gene symbol Gene name Chromosome location      
HGNC:1884 CFTR CF transmembrane conductance regulator 7q31.2      
Targeted CFTR variants            
M1V (c.1A>G) 663delT (c.531delT) R352Q (c.1055G>A) V520F (c.1558G>T) 2183AA >G (c.2051_ 2052delAAinsG)  3007delG (c.2875delG) W1204X (c.3612G>A)
CFTRdele2,3 (c.54-5940_ 273+10250del21kb) G178R (c.532G>A) 1213delT (c.1081delT) Q525X (c.1573C>T)† 2184delA (c.2052delA) G970R (c.2908G>C) 3791delC (c.3659delC)
Q39X (c.115C>T) 711+1G>T (c.579+1G>T) 1248+1G>A (c.1116+1G>A) 1717-8G>A (c.1585-8G>A) 2184insA (c.2052_2053insA) 3120G>A (c.2988G>A) 3849+10kbC>T (c.3717+12191C>T)
E60X (c.178G>T) 711+3A>G (c.579+3A>G) 1259insA (c.1127_1128insA) 1717-1G>A (c.1585-1G>A) R709X (c.2125C>T) 3120+1G>A (c.2988+1G>A) G1244E (c.3731G>A)
P67L (c.200C>T) 711+5G>A (c.579+5G>A) W401X (c.1202G>A) G542X (c.1624G>T) K710X (c.2128A>T) 3121-1G>A (c.2989-1G>A) 3876delA (c.3744delA)
R75X (c.223C>T) 712-1G>T (c.580-1G>T) W401X (c.1203G>A) S549R (c.1645A>C) 2307insA (c.2175_2176insA) 3272-26A>G (c.3140-26A>G) S1251N (c.3752G>A)
G85E (c.254G>A) H199Y (c.595C>T) 1341+1G>A (c.1209+1G>A) S549N (c.1646G>A)  L732X (c.2195T>G) L1065P (c.3194T>C) 3905insT (c.3773_3774insT)
394delTT (c.262_263delTT) P205S (c.613C>T) 1461ins4 (c.1329_ 1330insAGAT) S549R (c.1647T>G) 2347delG (c.2215delG) R1066C (c.3196C>T W1282X (c.3846G>A)
405+1G>A (c.273+1G>A) L206W (c.617T>G) A455E (c.1364C>A) G551D (c.1652G>A) R764X (c.2290C>T) R1066H (c.3197G>A) 4005+1G>A (c.3873+1G>A)
406-1G>A (c.274-1G>A) Q220X (c.658C>T) 1525-1G>A (c.1393-1G>A) Q552X (c.1654C>T) 2585delT (c.2453delT) L1077P (c.3230T>C) 4016insT (c.3884_3885insT) 
E92X (c.274G>T) 852del22 (c.720_ 741delAGGGAGAAT GATGATGAAGTAC) S466X (C>A) (c.1397C>A) R553X (c.1657C>T) E822X (c.2464G>T) W1089X (c.3266G>A) N1303K (c.3909C>G)
E92K (c.274G>A) 1078delT (c.948delT) S466X (C>G) (c.1397C>G) A559T (c.1675G>A) 2622+1G>A (c.2490+1G>A) Y1092X(C>A) (c.3276C>A) Q1313X (c.3937C>T)
Q98X (c.292C>T) G330X (c.988G>T) L467P (c.1400T>C) R560T (c.1679G>C) E831X (c.2491G>T) Y1092X(C>G) (c.3276C>G) 4209TGTT>AA (c.4077_ 4080delTGTTinsAA)
457TAT>G (c.325_327delTATinsG) R334W (c.1000C>T) 1548delG  (c.1418delG)† R560K (c.1679G>A) W846X (c.2537G>A) M1101K (c.3302T>A) CFTRdele22,23 (c.3964-78_ 4242+577del)
D110H (c.328G>C) I336K (c.1007T>A) S489X (c.1466C>A) 1811+1.6kbA>G (c.1679+1.6kbA>G) R851X (c.2551C>T) E1104X (c.3310G>T) 4382delA (c.4251delA)
R117C (c.349C>T) T338I (c.1013C>T) S492F (c.1475C>T) 1812-1G>A (c.1680-1G>A) 2711delT (c.2583delT) R1158X (c.3472C>T) PolyTG/PolyT
R117H (c.350G>A) S341P (c.1021T>C)  Q493X (c.1477C>T) E585X (c.1753G>T) 2789+5G>A (c.2657+5G>A) R1162X (c.3484C>T) I506V (c.1516A>G)
Y122X (c.366T>A) 1154insTC (c.1022_ 1023insTC)  I507del (c.1519_ 1521delATC) 1898+1G>A (c.1766+1G>A) Q890X (c.2668C>T) 3659delC (c.3528delC) I507V (c.1519A>G)
574delA (c.442delA) R347H (c.1040G>A) F508del (c.1521_ 1523delCTT) 1898+3A>G (c.1766+3A>G) L927P (c.2780T>C) S1196X (c.3587C>G) F508C (c.1523T>G)
621+1G>T (c.489+1G>T) R347P (c.1040G>C) 1677delTA (c.1545_ 1546delTA) 2143delT (c.2012delT) S945L (c.2834C>T) W1204X (c.3611G>A)  


Performing Laboratory
West Virginia University Hospital, Inc.



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.