Last Modified:
2/14/2024 11:06:14 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Physician asstation of informed consent
Specimen Requirements:
5.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions:
Send report of results for family member with known mutation.
Minimum Volume:
2.0 mL Whole Blood
Transport & Storage: Temperature/Stability:
14 days Ambient
Specimen stability crucial:
Store and ship ambient immediately.
Reference Range:
See Laboratory Report
Critical Ranges:
Test Comments:
Methodology:
DNA Bait Capture • Long Range Polymerase Chain Reaction • Next Generation Sequencing • Microarray
Clinical Significance:
When a patient has a relative who carries a genetic mutation, single site testing may be most appropriate. This test determines the presence or absence of a famillal mutation. Of note, a copy of the paitent's relatives positive genetic test results must accompany the specimen.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
15-22 days from completed pre-authorization
Days Performed:
Tuesday, Thursday, Saturday
Sites Performed:
Quest - Chantilly
PHL Test Code:
MSOT
EPIC Test Code:
MISC
Send Out Test Code:
93945
Alternate Test Names:
Hereditary Cancer Single Site(s)
Included Tests:
CPT Coding:
Dependant on Gene Requested
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