T Cell Receptor Gamma Gene Rearrangement with Reflex to T Cell Receptor Beta Chain Gene Rearrangement (T-Cell Clonality Assay) by PCR : 1016804

Message
For tissue specimens, please provide most recent pathology report.


Test Code
MDFCPTCRREFTCB or 1016804


CPT Codes
81342

Includes
If the T Cell Receptor Gamma Chain Gene Rearrangement by PCR  is not definitively positive for clonal rearrangement,  the T Cell Receptor Beta Chain Gene Rearrangement will be performed at an  additional charge (CPT code(s): 81340).


Instructions
Peripheral Blood in a lavender top tube (EDTA) or Bone Marrow in a lavender top tube (EDTA) or Tissue.


Transport Container
Submit 5 mL Blood (Min. 2 mL) or 2 mL Bone Marrow (Min. 0.5 mL): Do not centrifuge. Fresh Tissue: submit in RPMI media.  Paraffin embedded Tissue: submit in sterile biohazard plastic bag. Slides: submit in slide holder.  Do not submit decalcified tissue specimen.


Transport Temperature
Blood, Bone Marrow, or Fresh Tissue: Refrigerated;  Paraffin embedded Tissue: Ambient or on ice pack in summer; Slides: Ambient.


Specimen Stability
Blood or Bone Marrow: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
 
Paraffin embedded tissue: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
 
Fresh tissue:  Refrigerated: 24 hours; Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Decalcified tissue specimen.


Methodology
Polymerase Chain Reaction (PCR)

Setup Schedule
Tuesday & Friday


Report Available
2-6 days
If reflex, 4-6 days after reflex added


Limitations
The kit used to perform this test is labeled for RESEARCH USE ONLY. Performance characteristics have been determined by med fusion. This test has not been cleared or approved by the U.S. Food and Drug Administration (FDA).


Reference Range
An interpretive report will be provided.


Clinical Significance
This assay is used to identify clonal rearrangements of the T-cell receptor gamma chain gene and the T-cell receptor beta chain gene present in the majority of T cell and certain B cell malignancies.


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.