FISH, MALT Lymphoma, MALT1, 18q21 Rearrangement

Test Code

40053

CPT Codes
88271 (x2), 88275

Preferred Specimen

5 mL whole blood collected in a sodium heparin (green-top) tube or
3 mL bone marrow collected in a sodium heparin (green-top) tube

Minimum Volume

1 mL

Other Acceptable Specimens

Formalin-fixed, paraffin-embedded tissue • 5x5 mm lymph node tissue or lymph node collected in a sterile container

Instructions

For bone marrow (1-3 mL) or whole blood (3-5 mL) use green top (sodium heparin) tube. For lymph node biopsy 5x5 mm in a sterile container in Hank's Ringer's solution or culture medium with antibiotics. Transportation medium available upon request.
Formalin fixed paraffin embedded tissue. Specimen viability decreases during transit.
Send specimen to testing lab for viability determination. Do not freeze. Do not reject.

Transport Temperature

Room temperature

Specimen Stability

See Collection Instructions

Methodology
Fluorescence in situ Hybridization (FISH)

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 the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule

Set up: Daily; Report Available: 5-7 days

Clinical Significance

Prognostic investigation of mucosa-associated lymphoid tissue (MALT) lymphoma.

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.