Neurofibromatosis 1

Last Modified: 7/6/2022 8:51:28 AM


Medical Necessity Documentation:  
Client Notes: Pre-Authorization is required for this testing.

*Send copy of insurance cards and proper paperwork with specimen
Blank Univ of Alabama Requisition and Phenotypic Checklist
Patient Preparation:  
Specimen Requirements: 10.0 mL Whole Blood in Four Lavender Top Tubes - EDTA

Pediatric: 3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions: Phenotypic checklist should accompany order

Collect Monday through Thursday Only

Transport & Storage: Temperature/Stability: 48 hours Ambient
Rejection Criteria: Missing referring physician’s or genetic counselor’s names and addresses; informed consent; phenotypic checklist; unlabeled
Reference Range: Refer to Interprative Results
Critical Ranges:  
Test Comments:  
Methodology: Comprehensive test, using DNA, RNA and FISH analysis
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 5 to 6 weeks
Days Performed: Monday, Tuesday, Wednesday, Thursday
Sites Performed: Quest - Chantilly
PHL Test Code: MSOT
EPIC Test Code: MISC
Alternate Test Names: NF-1
Included Tests:  
CPT Coding: 81407, 81408, 88230

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