Factor V Leiden 1691A Mutation Analysis

Test Code
FACT5


Alias/See Also
LAB0000111


CPT Codes
81241

Preferred Specimen
5mL whole blood collected in EDTA (lavender-top) tube


Minimum Volume
3mL


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 24 hours
Refrigerated: 15 days
Frozen: 30 days


Methodology
polymerase chain reaction (PCR)

Setup Schedule
Daily


Report Available
Same day


Clinical Significance
The association of Factor V Leiden (G1691A) mutations with an increased risk for venous thrombosis has been well documented.
Factor V c.1601G>A (p.Arg534Gln) was previously designated as G1691A or Arg506Gln and is commonly referred to as Factor V Leiden or FVL5, or as in the Xpert Factor II & Factor V test, as Factor V (G1691A).
Factor V Leiden (G1691A) refers to the G to A transition at nucleotide position 1691 of the Factor V gene, resulting in the substitution of the amino acid arginine by glutamine in the Factor V protein, causing resistance to cleavage by Activated Protein C (APC).
Factor V Leiden (G1691A) mutations are present in 5% of the general population.


Performing Laboratory
Penn Medicine Lancaster General Health



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.