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Name CPT Codes
Fanconi Anemia, Group C (FANCC) 2 Mutations (RPS) 81242

Abbreviation: FADA

Specimen Type: Whole Blood

Storage Temperature: Refrigerate

Tubes / Containers: Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YFADA

Volume: 3 mL

Minimum Volume: 1 mL

Tab Assignment: RPS Sendouts

Hemochromatosis Genetic Mutation Panel 81256

Abbreviation: HECH

Specimen Type: EDTA Whole Blood

Storage Temperature: Refrigerate

Instrument / Location: RPS

Host Code: YHECHN

LOINC: 48578-9

Tab Assignment: RPS Sendouts

IGHV Mutation Analysis by Sequencing (RPS) 81263

Abbreviation: IGHVM

Specimen Type: Whole Blood or bone marrow

Storage Temperature: CRITICAL REFRIGERATED

Tubes / Containers: Purple Top Tube

Instrument / Location: RPS

Host Code: YIGHVM

LOINC: 48670-4

Volume: 5 mL whole blood / 3 mL bone marrow

Minimum Volume: 1 mL whole blood or bone marrow

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performance varies / Reported 8-12 days


Additional Information: ARUP # 0040227 SPECIMEN MUST BE RECEIVED AT PSPC SAME DAY OF COLLECTION. DRAW MON-THUR ONLY.

JAK2 (V617F) Mutation by ddPCR, Qual w/reflex to CALR & MPL (ARUP via RPS) 81270

Abbreviation: JAK2DR

Specimen Type: Whole blood

Storage Temperature: Refrigerated

Tubes / Containers: Purple top tube (EDTA)

Instrument / Location: RPS

Host Code: YJAK2DR

LOINC: 43399-5, 31208-2

Volume: 5 mL whole blood; 3 mL bone marrow

Minimum Volume: 5 mL whole blood; 3 mL bone marrow

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performance varies / Reported 3-15 days


Additional Information: Performance varies / Reported 3-15 days

JAK2 (V617F) Mutation by ddPCR, Quant (RPS) 81270

Abbreviation: JAK2DD

Specimen Type: Whole blood EDTA

Storage Temperature: Refrigerated

Tubes / Containers: Purple top tube (EDTA)

Instrument / Location: RPS

Host Code: YJAK2DD

LOINC: 31208-2, 53761-3, 43399-5

Volume: 5 mL

Minimum Volume: 1 mL

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Perforance varies / Reported 7 days


Additional Information: ARUP # 3003751

JAK2 V617F Mutation Detection (RPS) 81270

Abbreviation: JAKQLT

Specimen Type: EDTA Whole Blood

Storage Temperature: Refrigerate

Instrument / Location: RPS

Host Code: YJAKQLTN

Tab Assignment: RPS Sendouts


Additional Information: Commercial payors (other than UHC): 81270 UHC Molecular reference code: 56281271_JAK2 Medicare: 81479

JAK2, V617F Mutation, Qualitative w/ Reflex to JAK2 Exon 12 81270

Abbreviation: JAK2R

Specimen Type: EDTA Whole Blood

Storage Temperature: Refrigerate

Instrument / Location: RPS

Host Code: YJAK2R

Volume: 5 mL

Minimum Volume: 1 mL

Tab Assignment: RPS Sendouts

KIT (D816V) Mutation by ddPCR, Quant (ARUP via RPS) 81273

Abbreviation: D816V

Specimen Type: Whole blood or bone marrow

Storage Temperature: Refrigerated

Tubes / Containers: Purple top tube

Instrument / Location: RPS

Host Code: YD816V

LOINC: 31208-2, 81258-6, 88519-4

Volume: 5 mL whole blood or 3 mL bone marrow

Minimum Volume: 1 mL

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performance varies / Reported 2-9 days


Additional Information: ARUP # 3002956

Lynch Syndrome Panel, Seq & Del/Dup (ARUP via RPS) 81292; 81294; 81295; 81297; 81298; 81300; 81317; 81319; 81403

Abbreviation: LYNSP

Specimen Type: Whole blood

Storage Temperature: Refrigerated

Tubes / Containers: Purple top tube (EDTA)

Instrument / Location: RPS

Host Code: YLYNSP

LOINC: 66746-9, 79570-8

Volume: 3 mL

Minimum Volume: 2 mL

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performance varies / Reported 21-42 days


Additional Information: ARUP # 3001605; Genes Tested: EPCAM*, MLH1, MSH2, MSH6, PMS2 *Deletion/duplication only; sequencing is not available for this gene.


Documents: Hereditary Cancer Testing Patient History Form

NPM1 Mutation Detection 81310

Abbreviation: NPM1

Specimen Type: EDTA Whole Blood

Storage Temperature: Store and Transport at 4C

Tubes / Containers: 5 ml EDTA

Instrument / Location: RPS Sendouts

Host Code: YNPM1

Volume: 5ml

Minimum Volume: 1ml

PSPC Testing Schedule: Bone Marrow and unstained slides are also acceptable.


Documents: https://www.testmenu.com/nebraska/Tests/277426

PML-RARA Translocation, t(15;17) by RT-PCR, Quant 81315

Abbreviation: PMLRA

Specimen Type: EDTA Whole Blood

Storage Temperature: Refrigerate

Tubes / Containers: Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YPMLRA

Charcot-Marie-Tooth & Related Hereditary Neuropathies w/reflex (ARUP via RPS) 81324

Abbreviation: PMP22

Specimen Type: EDTA Whole blood

Storage Temperature: Refrigerate

Tubes / Containers: Purple top

Instrument / Location: RPS

Host Code: YPMP22

LOINC: 31208-2, 35464-7

Volume: 3 mL whole blood

Minimum Volume: 2 mL

Tab Assignment: RPS Sendouts


Additional Information: ARUP # 2012155

Angelman Syndrome and Prader-Willi Syndrome (ARUP via RPS) 81331

Abbreviation: ASPWS

Specimen Type: Purple Top

Storage Temperature: Refrigerate

Instrument / Location: RPS

Host Code: YASPWS

Alpha-1-Antitrypsin, Z & S Mutation/Genotyping (RPS) 81332

Abbreviation: A1AD

Specimen Type: Whole Blood

Storage Temperature: Refrigerate

Tubes / Containers: Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YA1AD

Volume: 5 mL

Minimum Volume: 2 mL

Tab Assignment: RPS Sendouts

MPL Mutation Detection 81339

Abbreviation: MPLMUT

Specimen Type: EDTA Whole Blood

Storage Temperature: Refrigerate

Tubes / Containers: Purple Top Tube (1), Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YMPLMUT

Tab Assignment: RPS Sendouts

UDP Glucuronosyltransferase 1A1 (UGT1A1) Gentotyping (ARUP v 81350

Abbreviation: UGT1A1

Specimen Type: Whole Blood

Storage Temperature: Refrigerate

Instrument / Location: RPS

Host Code: YUGT1A1

Tab Assignment: RPS Sendouts

Beta Globin (HBB) Gene Sequencing (ARUP via RPS) 81364

Abbreviation: BGSEQ

Specimen Type: Whole Blood

Storage Temperature: Refrigerated

Tubes / Containers: Purple top tube (EDTA) or Yellow Top Tube - A or B

Instrument / Location: RPS

Host Code: YBGSEQR

LOINC: 66746-9, 21689-5

Volume: 3 mL

Minimum Volume: 2 mL

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performance varies / Reported 3 weeks


Additional Information: ARUP # 3004547 Submit with Order: Patient history for Hemoglobinopathy/Thalassemia Testing and recent CBC.


Documents: Patient History for Hemoglobinopathy/Thalassemia Testing

HLA by DNA Amplification Ankylosing Spondylitis (RPS) 81374

Abbreviation: B27DNA

Specimen Type: Whole blood

Storage Temperature: Refrigerated

Tubes / Containers: Purple top tube (EDTA)

Instrument / Location: RPS

Host Code: YB27DNA

LOINC: 26043-0

Volume: 3 mL

Minimum Volume: 1 mL

Tab Assignment: RPS

PSPC Testing Schedule: Performed M-F by 0900

HLA-B51 Determination (Quest via RPS) 81374

Abbreviation: HLAB51

Specimen Type: Whole Blood

Storage Temperature: Room Temp

Instrument / Location: RPS

Host Code: YHLAB51

Tab Assignment: RPS Sendouts

Autoimmune Hepatitis Type 1 (RPS) 81376

Abbreviation: AIHT1

Specimen Type: Default

Storage Temperature: Ambient/Room temperature

Tubes / Containers: ACD (Yellow) tube Also acceptable: purple top (EDTA) tube

Instrument / Location: RPS

Host Code: YAIHT1

Volume: 10 mL

Minimum Volume: 5 mL

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Results within 5 working days

HLA-A29 Uveitis - Birdshot Chorioretinopathy (LCH 167390) 81381

Abbreviation: HLAA29

Specimen Type: Whole Blood

Storage Temperature: Room temperature

Tubes / Containers: Lavendar top (EDTA)

Instrument / Location: LabCorp

Host Code: YHLAA29

LOINC: 13298-5, 13298-5, 49549-9

Volume: 7 mL

Tab Assignment: LabCorp


Additional Information: LCH #167390

HLA-B*5701 Genotype, Pharmacogenomics, Varies (MAYO via RPS) 81381

Abbreviation: HL57V

Specimen Type: Whole blood

Storage Temperature: Refrigerated and Room temperature also accepted.

Tubes / Containers: Purple top tube (EDTA)

Instrument / Location: RPS

Host Code: YHL57V

LOINC: 50956-2, 93308-5, 69047-9, 48767-8, 49549-9, 62364-5, 18771-6

Volume: 3 mL

Minimum Volume: 0.4 mL

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performed M, W-F by 9 am / Reported 1-5 days (Not Sat or Sun)


Additional Information: MAYO ID: HL57V Specimen Type: Whole blood in Lavender top (EDTA) Volume: 3 mL (Min: 0.4 mL) Stability: Ambient (preferred) 9 days/Refrigerated 30 days Specimen Type: Saliva Supplies: Saliva Swab Collection Kit (T786) Patient should not eat, drink smoke, or chew gum 30 minutes prior to collection. Volume: 1 swab Collect and send specimen per kit instructions. Stability: Ambient 30 days Specimen Type: DNA 2 mL screw top tube Volume: 100 mcL (microliters) Include concentration and volume on tube. Stability: Frozen (preferred) 1 year/Ambient/Refrigerated

Narcolepsy Evaluation, HLA DQ6 by DNA (RPS) 81383

Abbreviation: NRCY

Specimen Type: Whole Blood

Storage Temperature: Ambient/Room Temperature or Refrigerated

Tubes / Containers: Purple top tube (EDTA) or Yellow Top Tube - ACD

Instrument / Location: RPS

Host Code: YNRCYA

Volume: 10 mL (Yellow top)

Minimum Volume: 5 mL (Purple top)

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performed M-F by 0900 / Reported 5 business days

Factor V, R2 Mutation DNA Analysis (RPS) 81400

Abbreviation: FVR2DNA

Specimen Type: Whole Blood

Storage Temperature: Refrigerate

Tubes / Containers: Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YFVR2DNA

Volume: 5 mL

Minimum Volume: 1.5 mL

Tab Assignment: RPS Sendouts

Factor XIII (F13A1) V34L (ARUP # 2003220) 81400

Abbreviation: F13M

Specimen Type: Whole Blood

Storage Temperature: Room Temp

Instrument / Location: RPS

Host Code: YF13M

Tab Assignment: RPS Sendouts

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