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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T-Cell Clonality Screening by PCR
Test Information:	T-cell receptor gamma (TCRG) gene rearrangement
Test Details
Test Code:	9217
Special Notes:	Samples received will be tested by ARUP.
Technical Information
Methodology:	Polymerase Chain Reaction/Capillary Electrophoresis

Sample & Shipping Information
Test Requisition:	Tumor Analysis
Specimen Type:	Bone Marrow
Requirements:	Draw bone marrow in an EDTA (purple-top) tube(s) and send 3 mL (Min: 1 mL).
Shipping Conditions:	Ship at refrigerated temperature in an insulated container by overnight courier. Specimen should arrive in the laboratory within 24 hrs of collection. Do not heat or freeze. Unacceptable Conditions: Frozen specimens. Clotted or grossly hemolyzed specimens. Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
Specimen Type:	FFPE - Tumor Tissue
Requirements:	Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Transport tissue block or four 10-micron shavings. Tissue block will be returned after testing.
Shipping Conditions:	Ship at ambient temperature (18-25°C/64-77°F) or refrigerated temperature in an insulated container by overnight courier. Ship in cooled container during summer months. Do not heat or freeze. Unacceptable Conditions: Specimens fixed/processed in alternative fixatives or heavy metal fixatives (B-4 or B-5) or tissue sections on slides. Decalcified specimens. Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
Specimen Type:	Fresh Frozen Tissue
Requirements:	100 mg (0.5-2.0 cm³) fresh tissue snap frozen at -20°C. Please include a copy of corresponding surgical pathology report.
Shipping Conditions:	Ship frozen on dry ice in an insulated container by overnight courier. Specimen should arrive in the laboratory within 24 hrs of shipment. Stability: Ambient: Unacceptable; Refrigerated: 2 hours; Frozen: 1 year
Specimen Type:	Whole Blood
Requirements:	Draw whole blood in an EDTA (purple-top) tube(s) and send 5 mL (Min: 1 mL).
Shipping Conditions:	Ship at refrigerated temperature in an insulated container by overnight courier. Specimen should arrive in the laboratory within 24 hrs of collection. Do not heat or freeze. Unacceptable Conditions: Serum. Frozen whole blood or bone marrow. Clotted or grossly hemolyzed specimens. Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable

Billing Information
Turn Around Time:	5-7 days
List Price:	*For Insurance or Institutional Prices, please call.
CPT Codes:	81342x1

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