AML1/ETO t(8;21) Quantitative, Real-Time PCR

Test Code
14995X


CPT Codes
81401<br />

Preferred Specimen
3 mL whole blood or bone marrow collected in an EDTA (lavender-top) tube


Minimum Volume
1 mL whole blood or bone marrow
20 uL extracted RNA


Other Acceptable Specimens

Whole blood or bone marrow collected in a Sodium heparin (green-top) or ACD-B (yellow-top) tube

50 uL of 10 ng/uL extracted RNA submitted in a microcentrifuge tube

Instructions:
Only accept extracted RNA when extraction or isolation is performed in an appropriately qualified laboratory such as a CLIA-certified laboratory or a laboratory meeting equivalent requirements as determined by the CAP and/or CMS.



Instructions
Collect 3 mL of whole blood or bone marrow in a lavender-top (EDTA) tube, green-top (Heparin) or yellow-top (ACD) tube. Whole blood or bone marrow are shipped at room temperature or 4°C. Do not freeze whole blood or bone marrow. Record the draw time and date on the tube. Information regarding draw time and date is required to ensure stability of the sample is maintained.


Transport Temperature
Room temperature


Specimen Stability

Whole blood & bone marrow:
Room temperature: 5 days
Refrigerated: 5 days
Frozen: Unacceptable

Extracted RNA:
Room temperature: Unacceptable
Refrigerated: Preferred
Frozen: Acceptable



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Clotted blood or bone marrow • Frozen samples


Methodology
Real-Time Reverse Transcriptase Polymerase Chain Reaction (RT-PCR)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
A.M. Sets up 1 day a week.


Report Available
Reports in 5 days.


Clinical Significance
To detect AML1-ETO t (8;21) fusion transcript that is common in acute myeloid leukemia (AML) M2 subtype. Besides initial diagnosis and prognosis evaluation, this assay is intended to monitor the clinical course and effectiveness of therapy of Minimal Residual Disease (MRD). It may be valuable to monitor the disease trend in the same patient and predict the approaching relapse.




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.