Ordering Instructions

For new acute leukemias, indicate this diagnosis status at the time of ordering by answering the order question. New acute myeloid leukemias will get a LAB8049 FLT3 ITD/TKD PCR.

Test Includes

See Beaker NGS Oncology Panel Gene List for a comprehensive list of genes contained within each available panel.
New acute myeloid leukemias that have not had a FLT3 within the last 7 days will have a LAB8049 FLT3 ITD/TKD PCR performed in addition to the NGS FLT3.

Turnaround Time

Performed Mon-Fri; results are reported within 10-14 days.

Specimen Type

Blood, bone marrow

Collection Containers

Yellow (ACD, Solution A) tube available from laboratory
Alternate Containers: Purple (EDTA)

Collection Volume

10 mL blood; 3 mL bone marrow

Minimum Collection Volume

3 mL blood; 1 mL bone marrow

Specimen Preparation

Do not process. Store at room temperature.

Unacceptable Conditions

Frozen or clotted specimen; incorrect anticoagulant; specimen more than 5 days old.


Shared blood and bone marrow samples will not be accepted unless sent to Molecular first. Contamination will occur on automated hematology analyzers.

Shipping Instructions

Ship at room temperature. Do not refrigerate or freeze.
Glass tubes and bottles must be shipped in bubble wrap to prevent breakage.

Stability (from collection to initiation)

Whole blood samples are stable for 5 days at room temperature.

Containers

Yellow (ACD, Solution A) Tube, available from laboratory

Alternate Containers

Purple (EDTA)

Reference Interval

See interpretive report.

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

CPT Codes

CPT Qty HC Hospital PR Clinic Note
81450 1 3008145016 8145016 HC NGSO HEME PANEL DNA OR DNA/RNA 5-50 GENES
G0452 1 971G045201 G045201 HC MOLECULAR INTERP PF

Methodology

Next generation sequencing

MRL Test Build

Test Name Component Required Description Type LOINC
LAB8091     Myeloid Malignancy NGS Panel Orderable  
  127025 Y Clinical indications for testing: Prompt  
  SPT_1007 Y Specimen type: Prompt  
  SRC_1000 Y Specimen source: Prompt  
  SRC_1001   Blood specimen source: Prompt  
  1230002417   Interpretation Result 13169-8
  1230003558   Molecular Diagnostics Result 56850-1
  1230005210   Signout Location if Remote Result 90119-9
  1230006360   Molecular Significant Results Result 95881-9
  1230007205   Molecular Test Details Result 48017-8

Data Type / Multiple Choice Response

SPT_1007
Blood|Bone Marrow
SRC_1000 Text
SRC_1001
Arm, Left|Arm, Right|Hand, Left|Hand, Right|Blood, Capillary|Other|Peripheral Blood
127025 Text

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Ordering

Ordering Instructions

For new acute leukemias, indicate this diagnosis status at the time of ordering by answering the order question. New acute myeloid leukemias will get a LAB8049 FLT3 ITD/TKD PCR.

Test Includes

See Beaker NGS Oncology Panel Gene List for a comprehensive list of genes contained within each available panel.
New acute myeloid leukemias that have not had a FLT3 within the last 7 days will have a LAB8049 FLT3 ITD/TKD PCR performed in addition to the NGS FLT3.

Turnaround Time

Performed Mon-Fri; results are reported within 10-14 days.

Collection & Processing

Specimen Type

Blood, bone marrow

Collection Containers

Yellow (ACD, Solution A) tube available from laboratory
Alternate Containers: Purple (EDTA)

Collection Volume

10 mL blood; 3 mL bone marrow

Minimum Collection Volume

3 mL blood; 1 mL bone marrow

Specimen Preparation

Do not process. Store at room temperature.

Unacceptable Conditions

Frozen or clotted specimen; incorrect anticoagulant; specimen more than 5 days old.


Shared blood and bone marrow samples will not be accepted unless sent to Molecular first. Contamination will occur on automated hematology analyzers.

Shipping Instructions

Ship at room temperature. Do not refrigerate or freeze.
Glass tubes and bottles must be shipped in bubble wrap to prevent breakage.

Stability (from collection to initiation)

Whole blood samples are stable for 5 days at room temperature.

Containers

Containers

Yellow (ACD, Solution A) Tube, available from laboratory

Alternate Containers

Purple (EDTA)

Result Interpretation

Reference Interval

See interpretive report.

Administrative

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

CPT Codes

CPT Qty HC Hospital PR Clinic Note
81450 1 3008145016 8145016 HC NGSO HEME PANEL DNA OR DNA/RNA 5-50 GENES
G0452 1 971G045201 G045201 HC MOLECULAR INTERP PF

Methodology

Next generation sequencing

Interface Mapping

MRL Test Build

Test Name Component Required Description Type LOINC
LAB8091     Myeloid Malignancy NGS Panel Orderable  
  127025 Y Clinical indications for testing: Prompt  
  SPT_1007 Y Specimen type: Prompt  
  SRC_1000 Y Specimen source: Prompt  
  SRC_1001   Blood specimen source: Prompt  
  1230002417   Interpretation Result 13169-8
  1230003558   Molecular Diagnostics Result 56850-1
  1230005210   Signout Location if Remote Result 90119-9
  1230006360   Molecular Significant Results Result 95881-9
  1230007205   Molecular Test Details Result 48017-8

Data Type / Multiple Choice Response

SPT_1007
Blood|Bone Marrow
SRC_1000 Text
SRC_1001
Arm, Left|Arm, Right|Hand, Left|Hand, Right|Blood, Capillary|Other|Peripheral Blood
127025 Text

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Private Details