FBN1 Mutation Analysis
Order Code: FBN1
Epic Lab Code: LAB3113
Order Form: A-1a Miscellaneous Request or Epic Req
Commercial Mail-out Laboratory
6240 RCP
356-3527
Specimen:
Whole Blood
Collection Medium:
and
Lavender top tube 4 mL (EDTA) Lavender top tube 4 mL (EDTA)
Minimum:
Adult minimum: 6 mL whole blood from TWO 4 mL lavender top (EDTA) tubes Pediatric minimum: 5 mL whole blood from lavender top (EDTA) tube Infant minimum: 2-3 mL whole blood from lavender top (EDTA) tube Alternate collection media: Tissue: frozen (preferred), Formalin-fixed, Paraffin embedded, CVS, fibroblasts, amniocytes, or extracted DNA.
Analytic Time:
2 weeks upon receipt at reference laboratory
Comments:
Please print, complete and submit the Laboratory Test Requisition Form from Connective Tissue Gene Tests with the specimen and the A-1a Miscellaneous Request.
CPT Code:
83890 x1, 83898 x58, 83894 x58, 83904 x63