NF/SG AML Diagnostic Panel B

Test Code
902542


CPT Codes
81450, 81479, 88237, 88264<br>Restricted Client Code

Includes
FLT3 Mutation Analysis
Chromosome Analysis, Hematologic Malignancy
Leukemia/Lymphoma Evaluation
LeukoVantage®, AML


Preferred Specimen
10 mL whole blood collected in a sodium heparin (green-top) tube (must contain 10% less mature myelocytes, pros, or blasts green vacutainer only), or
5 mL peripheral blood collected in an EDTA (lavender-top) tube, or
3 mL pediatric whole blood collected in a pediatric 3 mL vacutainer (must contain 10% myelocytes, pros or blasts)


Minimum Volume
3 mL whole blood • 3 mL peripheral blood • 2 mL pediatric whole blood


Instructions
1.) Do Not Reject. Send lab for evaluation. Blood samples are shipped at room temperature or 4° C. Do not freeze whole blood. Record the draw time and date on the tube. Ship immediately to maintain sample stability.
2.) Requisition form and Pathology/Flow Cytometry Reports are required.
3.) Whole blood: Sodium Heparin Green top. 10 mL must contain 10% less mature myelocytes, pros, or blasts green vacutainer only.
Infants 2-3 mL (in pediatric 3 mL vacutainer): must contain 10% myelocytes, pros or blasts. Ship at room temperature.
4.) Peripheral blood: EDTA Lavender. The tube must be kept at room temperature and shipped to the lab immediately.
5.) A clinical indication and specimen source are required with each specimen. If possible, submit CBC results with differential or an EDTA tube of peripheral blood. Do not freeze and do not place in fixative. Because of the critical nature of these specimens, the laboratory will attempt to process all specimens received, regardless of age of specimen.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: See instructions
Refrigerated: See instructions
Frozen: See instructions


Methodology
See individual assays

Setup Schedule
Set up and Report available: See individual tests


Reference Range
See Laboratory Report




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.