Pharmacogenomics Panel

Test Code
14272


Preferred Specimen
5 mL Whole blood.

Collection Instructions:
__4 mL of Saliva collected in OGD-500 Oragene-Dx collection
__kit up to the FILL TO line on the device. 4 mL of Saliva
__collected in OGD-600 Oragene-Dx collection kit up to the
__FILL TO line on the device.

Patient Preparation:
__Buccal: Do NOT eat, drink, smoke or chew gum for 30
__minutes before collection. Do NOT touch swab or allow
__contact with any other object.
__
__Saliva: Do NOT eat, drink, smoke or chew gum for 30
__minutes before collection. Do NOT remove the plastic film
__from the funnel lid.


Minimum Volume
Whole blood: 2 mL
Saliva: 3 mL
Buccal swab: 1 swab


Other Acceptable Specimens
4 mL Saliva
1 swab Buccal swab


Transport Container
Whole blood
__EDTA (lavender-top) (preferred)
__ACD solution A (yellow-top)
__ACD solution B (yellow-top)
Saliva
__0GD-500 Oragene Dx collection kit
__OGD-600 Oragene-Dx collection kit
Buccal swab: OCD-100A buccal kit (ORAcollect-Dx collection
kit)


Transport Temperature
Whole blood: Room temperature preferred; Refrigerated
_acceptable; Frozen unacceptable
Saliva and Buccal swab: Room temperature preferred;
_Refrigerated acceptable; Frozen acceptable


Specimen Stability
Whole blood
__Room temperature: 30 Days
__Refrigerated: 8 Days
__Frozen: Unacceptable
Saliva or Buccal swab
__Room temperature: 30 Days
__Refrigerated: 30 Days
__Frozen: 30 Days


Methodology
Microarray

Setup Schedule
A.M. Sets up 4 days a week.


Report Available
Reports in 8 to 24 days.


Clinical Significance
Genetics can play a significant role in the selection of
certain medications. For instance, individuals may
metabolize medications too fast or too slow. This test
analyzes genes of known pharmacogenomic value allowing
clinicians to gain valuable insight into an individual's
response to and adverse effects from medications with known
gene-drug interactions.




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.