DLBCL Mutation Analysis Only

Test Code

37170

CPT Codes
81450<br><strong>This test is not available for New York patient testing.</strong>

Preferred Specimen

10 mL peripheral blood or 3 mL bone marrow collected in an EDTA (lavender-top) tube

Minimum Volume

5 mL peripheral blood • 2 mL bone marrow • 1 block • 10 unstained slides

Other Acceptable Specimens

10 mL peripheral blood or 3 mL bone marrow collected in a sodium heparin (green-top) tube • Fresh tissue (1 cm3) in sterile saline, HBSS (Hank's or RPMI) • Formalin-fixed paraffin-embedded tissue (block or 10 unstained slides

Instructions

Do not centrifuge

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 48 hours
Refrigerated: 15 days
Frozen: Unacceptable

Methodology
Next Generation Sequencing

FDA Status
This test was developed and its performance characteristics determined by med fusion. It has not been cleared or approved by the U.S. Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) as qualified to perform high complexity clinical laboratory testing.

Setup Schedule

Sets up 2 days a week.

Clinical Significance

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

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.