FISH, APL, PML/RARA, Translocation 15, 17

Message
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Test Code
PMLRAR


CPT Codes
88271 (x2), 88275

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


Minimum Volume
3 mL whole blood • 1 mL bone marrow


Other Acceptable Specimens
Whole blood collected in: Sodium heparin (royal blue-top) tube or sodium heparin lead-free (tan-top) tube • Bone marrow collected in: Bone marrow transport tube (available upon request), sodium heparin (royal blue-top) tube, or sodium heparin lead-free (tan-top) tube


Instructions
Bone marrow 1-3 mL or whole blood 3-5 mL collected in a sodium heparin tube


Transport Temperature
Room temperature


Specimen Stability
Specimen viability decreases during transit. Send specimen to testing lab for viability determination. Do not freeze. Do not reject.


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 FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
A.M. Sets up 7 days a week.


Report Available
Reports in 2 to 3 days.


Reference Range
See Laboratory Report


Clinical Significance
This test is performed to detect the PML-RARA fusion, t(15;17), by FISH (fluorescence in situ hybridization). This assay is useful for diagnosis and monitoring of acute promyelocytic leukemia.


Performing Laboratory
Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042


Last Updated: November 29, 2021


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.