Myelodysplastic Syndrome

Last Modified: 10/21/2021 3:20:35 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 5.0 mL Whole Blood in an Lavender Top Tube
Collection Instructions: Requisition form and Pathology/Flow Cytometry Reports are required
Minimum Volume: 2.0 mL Whole Blood
Transport & Storage: Temperature/Stability: 14 days Ambient 
14 days Refrigerated
Unacceptable Frozen
Rejection Criteria: Gross hemolysis • Frozen • Clotted
Reference Range: Please Refer to Interpretive Report
Critical Ranges:  
Test Comments:  
Methodology: Next Generation Sequencing
Clinical Significance: This is designed to aid in diagnosis and/or treatment strategy of patients with MDS.
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 11 to 15 days
Days Performed: Tuesday, Thursday
Sites Performed: Quest - Chantilly to San Juan Capistrano
PHL Test Code: MSOT
EPIC Test Code: MISC
Send Out Test Code: 36789
Alternate Test Names: LeukoVantage®, Myelodysplastic Syndrome (MDS); MDS; Myeloid NGS Panel MDS
Included Tests:
ASXL1; ATM; BCOR; CBL; CEBPA; CSF3R; CUX1; DNMT3A; ETNK1; ETV6; EZH2; FLT3; GATA2; IDH1; IDH2; IKZF1; JAK2; KRAS; NF1; NPM1; NRAS; PHF6; PTEN; PTPN11; RUNX1; SETBP1; SF3B1; SRSF2; STAG2; STAT3; STK11; TET2; TP53; U2AF1; WT1; ZRSR2 genes
CPT Coding: 81450

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