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Test Code LAB17139 ADD-ON GENEPANEL HEME

Important Note

Hematology/Oncology and Pathology use only.

The Genomic Medicine Laboratory at the UVM Medical Center offers target capture-based next generation sequencing of up to 151 genes, including both DNA and RNA targets, that have clinical utility across a broad spectrum of hematologic neoplasms. Selection of a gene list is based on clinical indication and disease type. Three established panels are currently available for evaluation:

  • Myeloid neoplasms: 93 gene panel
  • Acute lymphoblastic leukemia: 71 gene panel
  • Lymphoma:  77 gene panel

The test is validated for bone marrow aspirates, whole blood, non-cell block cytology slides (Pap or MGG), and formalin-fixed paraffin embedded tissue.  Other samples may be accepted with Pathologist approval.

This testing is subject to the LCD - Genomic Sequence Analysis Panels in the Treatment of Hematolymphoid Diseases (L37606) (cms.gov) policy.  An ABN would be needed as the testing of greater than 50 genes is not covered per this LCD.

For outside clients, please use the Genomic Medicine Laboratory Order Form.

Additional Codes

Orderable Codes:

Epic Code Atlas Code Mayo Access ID Order LOINC
LAB17139 LAB17139 FAH6192 N/A

Result Component(s):

Reporting Name Epic Code Atlas Code Mayo Access ID Result LOINC
Genomics GP Heme Add on Status 12301016859 12301016859 FAH6193 N/A

 

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
Lav Top (EDTA) Bone Marrow or Whole Blood Refrigerate 4 mL 4 mL 2 mL 5 days
Sodium Heparin Bone Marrow or Whole Blood Refrigerate 4 mL 4 mL 2 mL 8 days
FFPE/Cell Blocks Tissue Ambient        
Slides *Non-cell Block Cytology Slides Ambient        

*Pap or MGG

Is the UVMMC Lab NY State Certified to perform this testing? Yes/No

No

Myeloid Panel

  • DNA genes (66): ABL1, ALK, ASXL1, BCOR, BRAF, CALR, CBL, CBLB, CEBPA, CREBBP, CSF1R, CSF3R, DDX41, DNMT3A, EGFR, ETNK1, ETV6, EZH2, FLT3, GATA1, GATA2, GNB1, HNRNPK, IDH1, IDH2, IKZF1, JAK1, JAK2, JAK3, KDM6A, KIT, KMT2A, KRAS, LUC7L2, MAP2K1, MPL, NOTCH1, NPM1, NRAS, PDGFRA, PDS5B, PHF6, PIGA, PIK3CA, PML, PPM1D, PRPF8, PTPN11, RAD21, RARA, RUNX1, SETBP1, SETD2, SF3B1, SH2B3, SMC1A, SMC3, SRSF2, STAG2, STAT3, STAT5B, TET2, TP53, U2AF1, WT1, ZRSR2.
  • RNA genes (41): ABL1, ALK, BCL11B, BCR, CBFB, CHIC2, CREBBP, CSF1R, DEK, ERG, ETV6, FGFR1, GLIS2, IKZF1, JAK2, KAT6A, KMT2A, MECOM, MKL1, MLF1, MLLT10, MLLT4, MYH11, NF1, NOTCH1, NTRK3, NUP214, NUP98, PDCD1LG2, PDGFRA, PDGFRB, PICALM, PML, PRDM16, RARA, RBM15, ROS1, RUNX1, RUNXT1, SETD2, TFG.

 

Acute Lymphoblastic Leukemia Panel

  • DNA genes (48): ABL1, BCL2, BCL6, BIRC3, BRAF, CDKN2A, CREBBP, CRLF2, CSF1R, DNMT3A, EP300, ETV6, EZH2, FBXW7, FLT3, GATA3, GNB1, IDH1, IDH2, IKZF1, IL7R, JAK1, JAK2, JAK3, KDM6A, KMT2A, KMT2D, KRAS, MPL, MYC, NOTCH1, NRAS, NT5C2, PAX5, PDGFRA, PHF6, PTEN, PTPN11, RUNX1, SETD2, SH2B3, STAT3, STAT5B, SUZ12, TP53, WHSC1, WT1, ZRSR2.
  • RNA genes (40): ABL1, ABL2, BCL11B, BCL2, BCL6, BCR, BIRC3, CREBBP, CRLF2, CSF1R, EBF1, EPOR, ETV6, FGFR1, IKZF1, JAK2, KLF2, KMT2A, MLLT10, MLLT4, MYC, NF1, NOTCH1, NTRK3, NUP214, NUP98, P2RY8, PAX5, PDCD1LG2, PDGFRA, PDGFRB, PICALM, PTK2B, RUNX1, SETD2, STIL, TALK1, TCF3, TYK2, ZCCHC7.

Lymphoma Panel

  • DNA genes (61): ALK, ATM, BCL2, BCL6, BCOR, BIRC3, BRAF, BTK, CARD11, CBL, CD79A, CD79B, CDKN2A, CREBBP, CSF1R, CXCR4, DDX41, DNMT3A, EGFR, EP300, ETV6, EZH2, FBXW7, FOXO1, GATA3, GNA13, GNB1, HNRNPK, IDH1, IDH2, JAK1, JAK2, JAK3, KMT2A, KMT2D, KRAS, MAP2K1, MEF2B, MYC, MYD88, NOTCH1, NOTCH2, NRAS, PAX5, PDGFRA, PIK3CA, PLCG2, PRDM1, PTEN, PTPN11, SETD2, SF3B1, SOCS1, STAT3, STAT5B, SUZ12, TET2, TNFAIP3, TP53, WHSC1, XPO1.
  • RNA genes (30): ALK, BCL2, BCL6, BIRC3, CCND1, CCND3, CDK6, CIITA, CREBBP, CSF1R, DUSP22, EIF4A1, ETV6, FGFR1, JAK2, KLF2, KMT2A, MALT1, MYC, NOTCH1, NTRK3, PAX5, PDCD1LG2, PDGFRA, PDGFRB, SETD2, TCF3, TFG, TP63, ZCCHC7.

Full List of Genes

  • DNA genes (98): ABL1, ALK, ASXL1, ATM, BCL2, BCL6, BCOR, BIRC3, BRAF, BTK, CALR, CARD11, CBL, CBLB, CD79A, CD79B, CDKN2A, CEBPA, CREBBP, CRLF2, CSF1R, CSF3R, CXCR4, DDX41, DNMT3A, EGFR, EP300, ETNK1, ETV6, EZH2, FBXW7, FLT3, FOXO1, GATA1, GATA2, GATA3, GNA13, GNB1, HNRNPK, IDH1, IDH2, IKZF1, IL7R, JAK1, JAK2, JAK3, KDM6A, KIT, KMT2A, KMT2D, KRAS, LUC7L2, MAP2K1, MEF2B, MPL, MYC, MYD88, NOTCH1, NOTCH2, NPM1, NRAS, NT5C2, PAX5, PDGFRA, PDS5B, PHF6, PIK3CA, PIGA, PLCG2, PML, PPM1D, PRDM1, PRPF8, PTEN, PTPN11, RAD21, RARA, RUNX1, SETBP1, SETD2, SF3B1, SH2B3, SMC1A, SMC3, SOCS1, SRSF2, STAG2, STAT3, STAT5B, SUZ12, TET2, TNFAIP3, TP53, U2AF1, WHSC1, WT1, XPO1, ZRSR2.
  • RNA genes (72): ABL1, ABL2, ALK, BCL11B, BCL2, BCL6, BCR, BIRC3, CBFB, CCND1, CCND3, CDK6, CHD1, CHIC2, CIITA, CREBBP, CRLF2, CSF1R, DEK, DUSP22, EBF1, EIF4A1, EPOR, ERG, ETV6, FGFR1, GLIS2, IKZF1, IKZF2, IKZF3, JAK2, KAT6A, KLF2, KMT2A, MALT1, MECOM, MKL1, MLF1, MLLT10, MLLT4, MYC, MYH11, NF1, NFKB2, NOTCH1, NTRK3, NUP214, NUP98, P2RY8, PAG1, PAX5, PDCD1LG2, PDGFRA, PGDFRB, PICALM, PML, PRDM16, PTK2B, RARA, RBM15, ROS1, RUNX1, RUNX1T1, SEMA6A, SETD2, STIL, TAL1, TCF3, TFG, TP63, TYK2, ZCCHC7.

Test Schedule / Analytical Time / Test Priority

Monday - Friday / 7-14 days / Available as STAT (7 day analytical time)

Section

Genomic Medicine

Instrumentation

Manual Extraction and Illumina Nextseq for Sequencing
 

CPT Code(s)

Description CPT Code
GenePanel Heme Myeloid 81455
GenePanel Heme Acute Lymphoblastic Leukemia 81455
GenePanel Heme Lymphoma 81455

 

Performing Location

University of Vermont Medical Center