MGMT(O6-Methylguanine-DNA Methyltransferase) Gene Methylation Assay

Test Code
13637CS


CPT Codes
81287<br><strong>This test is not available for New York patient testing.</strong><br>*** Restricted Use. This code is available to Client #55001, 51613, 53880,54656, 58536 and All Kaiser ONLY ***

Preferred Specimen
Formalin-fixed, paraffin-embedded (FFPE) tissue blocks or 4 (2 minimum) unstained slides at 5 µM and one matching H&E slide or 5 (3 minimum) precut unstained slides from a paraffin block in 5 µM sections.
(Note: Samples with >4 mm2 and > or = 50% tumor content are preferred.)


Instructions
Please send four precut unstained slides from formalin fixed paraffin-embedded tissue block in 5 mm sections or a formalin fixed paraffin-embedded tissue block. Mininum volume: 2 unstained slides at 5 mm.
Please provide a copy of the pathology report. Sample submission without a copy of the pathology report may delay testing.
(Note: Samples with >4 'square millimeter' and > or equals to 50% tumor content are preferred>)


Transport Temperature
Room temperature


Specimen Stability
Room temperature: Indefinite
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Tumor block containing insufficient tumor tissue • Tumor fixed in a heavy metal fixative • Broken or stained slides


Methodology
Quantitative methylation-specific polymerase chain reaction (PCR)

Setup Schedule
Sets up 5 days a week.


Clinical Significance
MGMT (O6-methylguanine-DNA methyltransferase) is a DNA
repair enzyme that is involved in the repair of damage
caused by a variety of DNA cross-linking compounds,
including alkylating agents. Increased methylation of the
MGMT gene promoter region causes dimished or silenced
expression of the gene, making cells more sensitive to DNA
damage. The relationship has been shown for glioblastomas
and alkylating agents such as temozolomide (Temodar(R)).




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.