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Epic Code LAB2111112 Ig Heavy Chain Gene Rearrangement PCR

Test Name Alias

Ig Heavy ChainPCR | B-cell clonality | Heavy Chain Gene Rearrangement | 107

Interface Order Alias

10533

Specimen Requirements

Submit only ONE of the following specimens:


Specimen Type: Formalin-fixed paraffin-embedded tissue (FFPE)

Collection Instructions: The area of interest for testing should be marked on the paraffin embedded tissue block or an accompanying slide.  If applicable, the ATL Surgical Specimen form completed by the Pathologist should be submitted with the paraffin embedded tissue.

 

 

Specimen Type: Fresh tissue

Collection Instructions: Fresh biopsy tissue must be flash frozen immediately after collection.  The tissue must be transported on dry ice, and should be received and processed within 24 hours of collection.  The ATL Surgical Specimen form completed by the Pathologist should be submitted with the frozen tissue.



Specimen Type: Whole Blood
Container/Tube: Lavender top (EDTA)
Volume: 3 mL
Minimum volume: 0.5 mL
Collection Instructions: Store at room temperature or refrigerated. For optimal results, the specimen should be received in the laboratory within 48 hours of collection.

 


Specimen Type: Bone Marrow
Container/Tube: Lavender top (EDTA)
Volume: 3 mL
Minimum volume: 0.5 mL
Collection Instructions: Store at room temperature or refrigerated. For optimal results, the specimen should be received in the laboratory within 48 hours of collection.

Specimen Transport Temperature

FFPE:  Ambient
Fresh Tissue:  On dry ice (-80° Celsius)
Blood and Bone Marrow:  Ambient or Refrigerated

Specimen Stability

Ambient: (Blood and Bone Marrow) 24 hours

Refrigerate: (Blood and Bone Marrow) 72 hours

Laboratory Retention: Extracted DNA retained greater than 1 year

Test Frequency

Available once per week, usual TAT less than 7 days

Reference Range

Negative for clonal IgH gene rearragement

Performing Department

MOLECULAR DIAGNOSTICS

Performing Department Laboratory Location

Spectrum Health Advanced Technology Laboratory (ATL), Grand Rapids, MI

Methodology

Polymerase Chain Reaction (PCR)

CPT

81261

CDM Code

3900306

Epic Test ID

1230100822

LOINC

Mol D Spec Type: 31208-2

Specimen ID: 8251-1

IgHeavyChainPCR: 21747-1

IgHeavyPCRInterp: 50627-9

DNA High pur: N/A

Electrophoresis: N/A

PCR: N/A

Beaker LOINC

IMMUNOGLOBULIN HEAVY CHAIN GENE REARRANGEMENT BY PCR: 21747-1

Reviewed Date

8/23/2021

Beaker Names

Beaker Procedure Name: IGHEAVYCHAINPCR
Beaker Display Name: Ig Heavy Chain Gene Rearrangement PCR
BEAKER TEST NAME: IMMUNOGLOBULIN HEAVY CHAIN PCR
BEAKER TEST REPORT NAME: Immunoglobulin Heavy Chain PCR

Beaker Synonyms

IG HEAVY CHAIN GENE REARRANGEMENT PCR

Beaker Collection and Specimen Handling

BEAKER COLLECTION: Blood or Bone Marrow = A+ Bronchial Alveolar Lavage/Pleural Fluid = R+ Biopsy/Lymph Node/Tissue = LOOK+LOOK Other = Call lab for instructions

Beaker Location, Container and Temperature

LC MOLECULAR DIAGNOSTICS: 3 ML LAVENDER TOP TUBE A (Preferred)-Ambient
LC MOLECULAR DIAGNOSTICS: FORMALIN 10% (Acceptable)-Ambient
LC MOLECULAR DIAGNOSTICS: MISCELLANEOUS (Acceptable)-No Temperature
LC MOLECULAR DIAGNOSTICS: STERILE CONTAINER A(Acceptable)