LYNCH SYNDROME, MSH2 SEQUENCING AND DELETION/DUPLICATION(INCLUDING EPCAM)

Message
SENDOUT/QUEST DIRECT SHIP-SAN JUAN


Test Code
MSH2 SEQ


Alias/See Also
LYNCH SYNDROME, Hereditary Nonpolyposis Colon Cancer (HNPCC),HNPCC Mismatch Repair Gene Mutation


Preferred Specimen
EDTA(2) LAV TOP TUBES-WHOLE BLOOD


Minimum Volume
2 mL whole blood

Collection Instructions
Saliva: 2 mL saliva collected in the Oragene-Dx collection kit up to the “fill to" line (OGD-500/OGD-600, OGD-510/OGD-610). Do NOT eat, drink, smoke or chew gum for 30 minutes before collection. Do NOT remove the plastic film from the funnel lid. Once sample is collected, tighten the cap on the tube. Please follow included instructions for use.
For amniotic fluid, chorionic villus (CVS), and skin fibroblasts: Call 1-866-GENEINFO (1-866-436-3463) prior to collecting and ordering.


Other Acceptable Specimens
Saliva collected in the Oragene-Dx collection kit or
15 mL amniotic fluid collected in sterile container or
20 mg chorionic villus (CVS) tissue with 2-3 mL of sterile saline or tissue culture medium collected in sterile container or
Cultured cells in 2 T-25 flasks with 80-100% confluent growth or
Skin fibroblasts collected in sterile plastic container

For amniotic fluid, chorionic villus (CVS), and skin fibroblasts, call 1-866-GENEINFO (1-866-436-3463) prior to collecting and ordering.


Instructions
TEST IS SET UP ON TUES, THURS, SAT ONLY. COLLECTION OF SAMPLES MIDWEEK MUST BE SHIPPED DIRECTLY.
TO SAN JUAN.****MUST ALSO INCLUDE REPORT OF RESULTS FOR FAMILY MEMBER WITH KNOW MUTATION*******


Transport Container
ORIGINAL TUBES-DIRECT SHIP


Transport Temperature
ROOM TEMP


Specimen Stability
Whole blood
Room temperature: 14 days
Refrigerated: 14 days
Frozen: Unacceptable

Saliva
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 14 days

Amniotic fluid (AF), chorionic villus (CVS), skin fibroblasts
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
CLOTTER WHOLE BLOOD


Methodology
DNA Bait Capture • Long Range Polymerase Chain Reaction • Next Generation Sequencing • Microarray

Setup Schedule
Tues, Thurs, Sat; Report available: 14-21 days from completed pre-authorization


Performing Laboratory
Quest Diagnostics Nichols Institute San Juan Capistrano 33608 Ortega Highway San Juan Capistrano, CA 92675

Additional Information
LYNCH SYNDROME, MSH2 SEQUENCING AND DELETION/DUPLICATION(INCLUDING EPCAM)


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.