Factor V (Leiden) Mutation Analysis with Reflex to HR2 Mutation Analysis

Test Code
17904

CPT Codes
81241

Includes
If Factor V Leiden is Heterozygous for R506Q Mutation, then HR2 testing will be performed at an additional charge (CPT code: 81400).

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

Minimum Volume
3 mL

Instructions
Extracted DNA: Please call 1-866-GENE-INFO additional information.

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 8 days
Refrigerated: 8 days
Frozen: 30 days

Methodology
Screen: Polymerase Chain Reaction & Detection
Reflex: Fluorescent Microspheres • Oligonucleotide Ligation Assay • Polymerase Chain Reaction

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
Set up: Daily; Report available: 3 days

Reference Range
Not detected

Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



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.