Medical Genetics Test Details

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The American Medical Association (AMA) Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) codes listed, are provided for informational purposes only. The codes reflect our interpretation of CPT/HCPCS coding requirements based upon AMA guidelines published annually. CPT/HCPCS codes are provided only as guidance to assist clients with billing. Baylor Genetics strongly recommends that clients confirm CPT/HCPCS codes with their Medicare Administrative Contractor (MAC) or other payer being billed, as requirements may differ. CPT coding is the sole responsibility of the billing party. Baylor Genetics assumes no responsibility for billing errors due to reliance on the CPT codes listed. Please direct any questions regarding CPT coding to the payer being billed.

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Oncology FISH Analysis - BCL6 Rearrangement
Test Information:	Indication for Study: Identification of BCL6-associated rearrangement.
Test Details
Test Code:	8775
Special Notes:	Technical Limitations: Results of this test must always be interpreted in the context of relevant clinical and pathological data, and should not be used alone for a diagnosis of malignancy. For additional information on our FISH probes and the frequency and prognostic significance of specific chromosomal abnormalities, please visit the Cancer Fish Probes List.
Technical Information
Methodology:	Fluorescent in Situ Hybridization (FISH) Analysis

Sample & Shipping Information
Test Requisition:	Tumor Analysis
Specimen Type:	Bone Marrow
Requirements:	Draw bone marrow in a Sodium Heparin (green-top) tube(s) and send 3-5 cc (Adults/Children) or 2 cc (Infant< 2 years).
Shipping Conditions:	Ship at room temperature in an insulated container by overnight courier. Specimen should arrive in the laboratory within 48 hrs of collection. Do not heat or freeze.
Specimen Type:	FFPE - Slide(s)
Requirements:	3 to 5 unstained 5um FFPE tissue on positively charged slides containing adequate amounts of tumor to be analyzed with areas of tumor marked. Please include a copy of corresponding surgical pathology report. Transport Temperature: sent at 18-25°C/64-77°F. Protect paraffin tissue from excessive heat. Ship in cooled container during summer months. Unacceptable Conditions: No tumor in tissue. Frozen specimens and specimens fixed/processed in alternative fixatives. Stability: Ambient: Indefinitely; Refrigerated: Acceptable.
Shipping Conditions:	Ship at room temperature (18-25°C/64-77°F) in an insulated container by overnight courier. Do not heat or freeze.
Specimen Type:	FFPE - Tumor Block
Requirements:	Paraffin-embedded, formalin-fixed tissue block containing adequate amounts of tumor to be analyzed. Please include a copy of corresponding surgical pathology report. Transport Temperature: sent at 18-25°C/64-77°F°C. Protect paraffin tissue from excessive heat. Ship in cooled container during summer months. Unacceptable Conditions: No tumor in tissue. Frozen specimens and specimens fixed/processed in alternative fixatives. Stability: Ambient: Indefinitely; Refrigerated: Acceptable.
Shipping Conditions:	Ship at room temperature (18-25°C/64-77°F) in an insulated container by overnight courier. Do not heat or freeze.
Specimen Type:	Leukemic Blood
Requirements:	Draw leukemic blood in a Sodium Heparin (green-top) tube(s) and send 3-5 cc (Adults/Children) or 2 cc (Infant<2yrs). (White count > 15,000 with approximately 10% blasts).
Shipping Conditions:	Ship at room temperature in an insulated container by overnight courier. Specimen should arrive in the laboratory within 48 hrs of collection. Do not heat or freeze.

Billing Information
Turn Around Time:	7 days
List Price:	*For Insurance or Institutional Prices, please call.
CPT Codes:	88237x1, 88271x1, 88275x1, 88291x1

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