TPMT Enzyme

Message
Prometheus


Test Code
3320


CPT Codes
82657, 82491

Preferred Specimen
Whole blood 5.0 mL


Other Acceptable Specimens
EDTA / Lavender Top Tube


Instructions
Informed concent required


Transport Container
original tube


Transport Temperature
Refrigerate; Ship with cold pack (DO NOT FREEZE)


Specimen Stability
7-8 days refrigerated; 24 hours ambient


Report Available
3 business days from date of receipt


Reference Range
"Normal TPMT Activity: >21.0 EU/mL; Intermediate TPMT Activity: 6.0-21.0 EU/mL;
Low TPMT Activity: <6.0 EU/mL"


Clinical Significance
PROMETHEUS® TPMT Enzyme testing provides a quantitative analysis of a patient’s thiopurine methyltransferase (TPMT) enzyme activity level. Because each patient metabolizes thiopurines differently, the efficacy and toxicity of thiopurines can vary widely from patient to patient. Knowledge of the TPMT enzyme phenotype may reduce time of response, allow physicians to individualize dosing, identify patients in whom thiopurine therapy should be avoided and help reduce the risk of leukopenia.




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.