LiquidSEQ™

Test Code
14308


CPT Codes
<strong>This test is not available for New York and Wyoming patient testing.</strong>

Preferred Specimen
10 mL whole blood collected in each of two Streck cell-free DNA blood collection tubes


Minimum Volume
10 mL (x2)


Instructions
This test requires two Streck tubes. Blood will be collected in office via QUEST-LIQUIDSEQ GEN KIT. Specimens may be shipped separately and at different times. Do not hold blood specimen due to short stability. Do not reject. Blood collection using a straight needle is preferred. Use kit only. All tubes must be filled completely. Gently invert tube at least 8 times immediately after draw.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Do not reject, send to laboratory for testing assessment


Methodology
Next Generation Sequencing

Setup Schedule
Set up: Sun, Tue, Thu; Report available: 7-10 days


Clinical Significance
The 523-gene comprehensive genomic profiling panel is
intended to help oncologists deliver precision medicine by
providing personalized genomic analysis of a patient's
blood. This comprehensive panel offers the opportunity for
a broader scope of genomic information compared to single
gene tests or smaller panels and an alternative specimen
type for comprehensive genomic profiling of a patient's
solid tumor. For example, it may be useful for patients
with limited or ill-defined treatment options and for those
considering clinical trials in the event tumor tissue is
not available or insufficient for tissue-based testing.
This panel uses next-generation sequencing to detect
mutations present in circulating tumor DNA (ctDNA)
extracted from a solid tumor patient's blood plasma. The
test is designed to detect single nucleotide variants
(SNVs) and small insertions/deletions, as well as
whole-gene copy number alterations and translocations in a
select group of genes. Microsatellite instability (MSI) and
tumor mutation burden (TMB) are also evaluated.




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.