DLBCL Mutation Analysis Only : 1016117

Test Code
MDFCPDLBCLSEQ or 1016117


Alias/See Also
Diffuse Large B-Cell Lymphoma; CARD11; CD79A; CD79B; EZH2; MYD88; TNFAIP3 (A20); TP53; B Cell Lymphoma


CPT Codes
81450

Includes
Includes: CARD11, CD79A, CD79B, EZH2, MYD88, TNFAIP3 (A20), TP53


Instructions
Peripheral Blood in a lavender top (EDTA) tubeand/or a green top sodium heparin tube.

OR

Bone Marrow in a lavender top (EDTA) tube and/or a green top sodium heparin tube.

OR

Tissue.


Transport Container
Submit 5-10 mL Blood in a lavender top and/or 5-10 mL Blood in a green top.

OR

Submit 2-3 mL Bone Marrow in a lavender top and/or 2-3 mL Bone Marrow in a green top.

Do not centrifuge.

OR

Tissue:
Cytogenetics: Fresh tissue (1 cm3) in sterile saline, HBSS (Hank's or RPMI) or FFPE (Formalin Fixed Paraffin Embedded) Tissue (block or 10 unstained slides).
Molecular: FFPE ( Formalin Fixed Paraffin Embedded) Tissue (block or 10 unstained slides).


Transport Temperature
Refrigerated.


Specimen Stability
Ambient: 48 hours; Refrigerated: 15 days; Frozen: Unacceptable


Methodology
Next Generation Sequencing

Setup Schedule
Monday & Thursday


Report Available
8-10 days


Reference Range
An interpretive report will be provided An integrated report with results from all tests along with relevant diagnostic, prognostic and clinical trial information.


Clinical Significance
Helps physicians diagnose and predict the course of disease progression for hematologic diseases.


Performing Laboratory
med fusion



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.