Whole Exome Sequencing Comparator - Additional FM

CPT: 81416
Updated on 09/2/2024
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Special Instructions

This specimen should be collected from a non-parental relative of the patient for whom Whole Exome Sequencing - DUO (Proband) [620023] or Whole Exome Sequencing - TRIO (Proband) [620022] is being ordered. The test to be ordered for the non-parental relative is Whole Exome Sequencing Comparator - Additional FM [620194].


Expected Turnaround Time

28 - 42 days

28 - 42 days

28 - 42 days

28 - 42 days

28 - 42 days



Related Documents

For more information, please view the literature below. These forms are required to submit for whole exome sequencing.

Clinical Questionnaire for Whole Exome/Genome Sequencing

Informed Consent: Whole Exome & Whole Genome Sequencing


    Specimen Requirements


    Specimen

    Whole blood; oral swab or extracted DNA (from blood or oral swab only)

    Whole blood, oral swab, extracted DNA

    Whole blood; oral swab or extracted DNA (from blood or oral swab only)


    Volume

    Whole blood: 4 mL; oral swab: 3 swabs; or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)

    4 mL, 1 swab, or 200 ng of DNA

    Whole blood: 4 mL; oral swab: 3 swabs; or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)


    Minimum Volume

    Whole blood: 2 mL; oral swab: 1 swab; or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)


    Container

    Whole blood: lavender-top (EDTA) tube; oral swab: OCD-100 DNA Genotek; or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)

    Lavender-top (EDTA) tube, OCD-100 DNA Genotek device only, extracted DNA

    Whole blood: lavender-top (EDTA) tube; oral swab: OCD-100 DNA Genotek; or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)


    Collection

    Whole blood: standard phlebotomy; oral swab: follow kit instructions; or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)

    Whole blood: standard phlebotomy; oral swab: follow kit instructions; or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)


    Storage Instructions

    Maintain specimen at room temperature or refrigerate at 4°C. Do not freeze.

    Blood: ship ASAP, but stable up to 5 days post-collection at room temperature. Do not freeze. Swab: 60 day post-collection room temperature; DNA: ship at room temperature after extraction.

    Maintain specimen at room temperature or refrigerate at 4°C. Do not freeze.


    Stability Requirements

    Room temperature: whole blood: 14 days; swab: 60 days

    Refrigerated: whole blood: 30 days; swab: 60 days

    Frozen: do not freeze

    Room temperature: Blood: 5 days; Swab: 60 days; DNA: 30 days

    Refrigerated: Blood: 5 days; Swab: 60 days; DNA: 30 days

    Frozen: Blood: Do not freeze; Swab: 60 days; DNA: Indefinitely

    Room temperature: whole blood: 14 days; swab: 60 days

    Refrigerated: whole blood: 30 days; swab: 60 days

    Frozen: do not freeze


    Causes for Rejection

    Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container

    Frozen blood EDTA tube; insufficient swab cell collection or incorrect oral swab device use; extracted DNA A260:A280 ratio outside of 1.8-2.0 range

    Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container


    Test Details


    Use

    Diagnostic testing

    Whole exome sequencing (WES) is a genetic test used to identify a hertiable cause of disorder. This test should be used in cases of WES DUO or TRIO sequencing where the parental samples are unavailable and an additional family member can be used as a comparator to inform the diagnosis of the proband.

    Diagnostic testing


    Limitations

    This assay will not consistently detect mosaicism or rule out the presence of large chromosomal aberrations, including rearrangements and inversions that do not change copy number of genomic regions. This NGS assay does not detect repeat expansions. False positive or false negative results may occur for reasons that include insufficient information available about rare genetic variants, sex chromosome abnormalities, pseudogene interference, homologous regions, blood transfusions, bone marrow transplantation, somatic or tissue-specific mosaicism/heteroplasmy, mislabeled samples or erroneous representation of family relationships. For panels with mitochondrial DNA assessment, low levels of heteroplasmy may not be reliably detected. Interpretation of the clinical significance of gene variations is limited by information about the variant that is available at the time of reporting and by the quality and quantity of clinical information provided with the sample. The interpretation of the clinical significance of variants may change.

    This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

    This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.<>

    This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

    This assay will not consistently detect mosaicism or rule out the presence of large chromosomal aberrations, including rearrangements and inversions that do not change copy number of genomic regions. This NGS assay does not detect repeat expansions. False positive or false negative results may occur for reasons that include insufficient information available about rare genetic variants, sex chromosome abnormalities, pseudogene interference, homologous regions, blood transfusions, bone marrow transplantation, somatic or tissue-specific mosaicism/heteroplasmy, mislabeled samples or erroneous representation of family relationships. For panels with mitochondrial DNA assessment, low levels of heteroplasmy may not be reliably detected. Interpretation of the clinical significance of gene variations is limited by information about the variant that is available at the time of reporting and by the quality and quantity of clinical information provided with the sample. The interpretation of the clinical significance of variants may change.

    This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.


    Methodology

    Next-generation sequencing to identify genetic variants, including single nucleotide variants (SNVs), insertions, deletions and copy number variants (CNVs)

    Whole Exome Sequencing

    Next-generation sequencing to identify genetic variants, including single nucleotide variants (SNVs), insertions, deletions and copy number variants (CNVs)


    LOINC® Map

    Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
    620194 Whole Exome Seq - Add FM 620181 Preauthorization N/A
    620194 Whole Exome Seq - Add FM 620196 Result 86205-2
    620194 Whole Exome Seq - Add FM 630860 PDF 80563-0

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