Impacted Test List - Insights€¦ · PR520 Coagulation Profile 81240, 81241, 81291 PR360 Venous Thrombosis Panel 81240, 81241, 83090, 85300, 85303, 85306, 86147x2 ... PMLR PML/RARA

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Mayo Test Id Test Name CPT CodeBTWGS Bacterial Typing by Whole Genome Sequencing 0010UMTRBL MatePair, Targeted Rearrangements, Congenital 0012UMTRTI MatePair, Targeted Rearrangements, Oncology 0013UMTRBM MatePair, Targeted Rearrangements, Hematologic 0014UJAKXB JAK2 Exon 12 and Other Non-V617F Mutation Detection, Blood 0027UJAKXM JAK2 Exon 12 and Other Non-V617F Mutation Detection, Bone Marrow 0027UJAKXR JAK2 Exon 12-15 Sequencing, Polycythemia Vera Reflex 0027UPGXFP Focused Pharmacogenomics Panel 0029UWARSV Warfarin Response Genotype 0030U1A2V Cytochrome P450 1A2 Genotype 0031UCOMTV Catechol-O-Methyltransferase (COMT) Genotype 0032UHTR2V Serotonin Receptor Genotype (HTR2A and HTR2C) 0033UTPNUV Thiopurine Methyltransferase (TPMT) and Nudix Hydrolase (NUDT15) Genotyping 0034UMPAML MatePair, Acute Myeloid Leukemia (AML) Panel 0056USYPPB Syphilis Total Ab Bill Only 2 0064URPRRT Rapid Plasma Reagin Screen Response to Therapy, Serum 0065U2D6CV Cytochrome P450 2D6 (CYP2D6) Comprehensive Cascade 0070U2D6S1 2D6 One Sequence (Bill Only) 0071U2D6S2 2D6 Two Sequences (Bill Only) 0072U2D6S3 2D6 Three Sequences (Bill Only) 0073U2D6S4 2D6 Four Sequences (Bill Only) 0074U2D6S5 2D6 Five Sequences (Bill Only) 0075U2D6S6 2D6 Six Sequences (Bill Only) 0076UMPTS M-Protein Isotype by MALDI-TOF Mass Spectrometry, Serum 0077USMOGA Monoclonal Gammopathy Screen, Serum 0077U, 83883x2, 84155, 84165SPISO Protein Electrophoresis and Isotype, Serum 0077U, 84155, 84165IDH12 Isocitrate Dehydrogenase 1 and 2 (IDH1/IDH2) Mutation Analysis, Tumor 81120, 81121NGAMT Acute Myeloid Leukemia, Therapeutic Gene Mutation Panel 81120, 81121, 81245, 81246, 81405DBMD Duchenne/Becker Muscular Dystrophy DMD Gene, Large Deletion and Duplication Analysis 81161AJADD BRCA1/BRCA2 Full Gene, Add On 81162BRCAZ BRCA1/BRCA2 Genes, Full Gene Analysis 81162BRCRC Hereditary Breast and Colorectal Cancer 81162, 81228, 81292, 81295, 81298, 81317, 81319, 81321, 81403, 81405x2,

81406BAKDM BCR/ABL, Tyrosine Kinase Inhibitor Resistance, Kinase Domain Mutation Screen, Sanger Sequencing 81170DRPL Dentatorubral-Pallidoluysian Atrophy (DRPLA) Gene Analysis 81177CANP Canavan Disease, Mutation Analysis, ASPA 81200AJPO Ashkenazi Jewish Mutation Analysis Panel Without Cystic Fibrosis (CF) 81200, 81209, 81242, 81251, 81255, 81260, 81290, 81330APCZ APC Gene, Full Gene Analysis 81201

Mayo Clinic Laboratories Published on July 1, 2019

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Mayo Test Id Test Name CPT Code_G050 Gene APC, Known Mutation (Bill Only) 81202SBULB Spinobulbar Muscular Atrophy (Kennedy Disease), Molecular Analysis (SBMA) 81204B210R BCR/ABL1, p210, Quantitative, Reflex 81206BCRAB BCR/ABL1, p210, mRNA Detection, RT-PCR, Quantitative, Monitoring Chronic Myelogenous Leukemia (CML) 81206BADX BCR/ABL, mRNA Detection, Reverse Transcription-PCR (RT-PCR), Qualitative, Diagnostic Assay 81206, 81207, 81208BCRFX BCR/ABL1 Qualitative Diagnostic Assay with Reflex 81206, 81207, 81208B190R BCR/ABL1, p190, Quantitative, Reflex 81207BA190 BCR/ABL1, p190, mRNA Detection, Reverse Transcription-PCR, Quantitative, Monitoring Assay, Varies 81207BBRAF BRAF Analysis (Bill Only) 81210BRAFB Cell-Free DNA BRAF V600 Test, Blood 81210BRAFC BRAF Mutation Analysis (V600), Melanoma 81210BRAFT BRAF Mutation Analysis (V600E), Tumor 81210RASFP RAS/RAF Targeted Gene Panel by Next Generation Sequencing, Tumor 81210, 81275, 81311, 81403BRAJ3 BRCA1/BRCA2 Ashkenazi Jewish 3-Site Mutation Panel 81212_G085 Gene BRCA1, Known Mutation (Bill Only) 81215_G086 Gene BRCA2, Known Mutation (Bill Only) 81217CEBPA CEBPA Mutations, Gene Sequencing 81218CALR CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN) 81219CALX CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN), Reflex 81219MPNCM Myeloproliferative Neoplasm (MPN), CALR with Reflex to MPL 81219CFP Cystic Fibrosis Mutation Analysis, 106-Mutation Panel 81220_G003 Gene CFTR, Known Mutation (Bill Only) 81221_G004 Gene CFTR, MLPA, Known Mutation (Bill Only) 81222CFTRZ CFTR Gene, Full Gene Analysis 81222, 81223HPPAN Hereditary Pancreatitis Panel 81222, 81223, 81404x2, 814052C19V Cytochrome P450 2C19 Genotype 812252C9GV Cytochrome P450 2C9 Genotype 81227COLAB Hereditary Colon Cancer CGH Array 81228_G075 Gene, Single, Large Del/Dup, Known Mutation (Bill Only) 81228LYNCH Lynch Syndrome Panel 81228, 81292, 81295, 81298, 81317, 81319, 81403CMACB Chromosomal Microarray, Congenital, Blood 81229CMAMT Chromosomal Microarray, Autopsy/Products of Conception/Stillbirth, Tissue 81229CMAP Chromosomal Microarray, Prenatal, Amniotic Fluid/Chorionic Villus Sampling 81229CMAPC Chromosomal Microarray, Autopsy, Products of Conception, or Stillbirth 81229CMTFT Chromosome Microarray, Tech Only, Fresh, Congenital 81229CMTPE Chromosome Microarray, Tech Only, Paraffin Embedded, Congenital 812293A4V Cytochrome P450 3A4 Genotype 81230


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Mayo Test Id Test Name CPT Code3A5V CYP3A5 Genotype 81231DPYDG Dihydropyrimidine Dehydrogenase (DPYD) Full Gene Sequencing 81232DPYDV Dihydropyrimidine Dehydrogenase (DPYD) Genotype 81232EGFRD Cell-Free DNA EGFR Exon 18, 19, 20, 21, Mutation Analysis, Blood 81235EGFRR Lung Cancer, EGFR with ALK Reflex, Tumor 81235EGFRT EGFR Gene, Mutation Analysis, 29 Mutation Panel, Tumor 81235T790M Cell-Free DNA EGFR T790M Mutation Analysis, Blood 81235F9MAP Hemophilia B, F9 Gene Mutation Analysis, Amniotic Fluid or Chorionic Villus Sampling 81238FIXMS Factor IX Gene Mutation Screening 81238PTNT Prothrombin G20210A Mutation (Factor II Mutation), Blood 81240PR520 Coagulation Profile 81240, 81241, 81291PR360 Venous Thrombosis Panel 81240, 81241, 83090, 85300, 85303, 85306, 86147x2THRMP Coag Consult, Thrombophilia Profile 81240, 85300, 85303, 85306, 85307, 85366, 85379, 85384, 85390, 85610, 85613,

85670, 85730F5DNA Factor V R506Q Leiden Mutation, Blood 81241FANCP Fanconi Anemia C Mutation Analysis, IVS4(+4)A->T and 322delG 81242FXS Fragile X Syndrome, Molecular Analysis 81243FUFXS Fragile X, Follow up Analysis 81244FLT FLT3 Mutation Analysis, Varies 81245, 81246_G126 Gene G6PD, Known Mutation (Bill Only) 81248G6PDB Glucose-6-Phosphate Dehydrogenase (G6PD) Full Gene Sequencing 81249GAUP Gaucher Disease, Mutation Analysis, GBA 81251_G127 Gene GJB1, Known Mutation (Bill Only) 81253TSDP Tay-Sachs Disease, Mutation Analysis, HEXA 81255HFE Hemochromatosis HFE Gene Analysis, Blood 81256_G128 Gene HBA1/HBA2, Known Mutation (Bill Only) 81258WASEQ Alpha Globin Gene Sequencing, Blood 81259WASQR Alpha Globin Gene Sequencing, Blood (Reflex) 81259FDP Familial Dysautonomia, Mutation Analysis, IVS20(+6T->C) and R696P 81260BCGBM Immunoglobulin Gene Rearrangement, Bone Marrow 81261, 81264BCGR Immunoglobulin Gene Rearrangement, Blood 81261, 81264BCGRV Immunoglobulin Gene Rearrangement, Varies 81261, 81264BCLL IGH for B-Cell Chronic Lymphocytic Leukemia (B-CLL), Somatic Hypermutation Analysis 81263CHRGB Chimerism Analysis 81265MULT Zygosity Testing (Multiple Births) 81265SPECI Specimen Source Identification 81265_STR1 Comparative Analysis using STR (Bill only) 81265ADONO Additional Chimerism Donor (Bill Only) 81266


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Mayo Test Id Test Name CPT Code_STR2 Additional Comparative Analysis w/STR (Bill Only) 81266CHIMU Chimerism Transplant No Cell Sort 81267SORT1 Chimerism Cell Sort 1 (Bill Only) 81268SORT2 Chimerism Cell Sort 2 (Bill Only) 81268ATHAL Alpha-Globin Gene Analysis 81269JAK2B JAK2 V617F Mutation Detection, Blood 81270JAK2M JAK2 V617F Mutation Detection, Bone Marrow 81270JAK2V JAK2 V617F Mutation Detection, Varies 81270MPNR Myeloproliferative Neoplasm (MPN), JAK2 V617F with reflex to CALR and MPL 81270PVJAK Polycythemia Vera, JAK2 V617F with Reflex to JAK2 Exon 12-15, Sequencing for Erythrocytosis 81270HAD Huntington Disease, Molecular Analysis 81271KIT11 KIT Exon 11, Mutation Analysis 81272KIT13 KIT Exon 13, Mutation Analysis 81272KIT17 KIT Exon 17, Mutation Analysis 81272KIT8 KIT Exon 8, Mutation Analysis 81272KIT9 KIT Exon 9, Mutation Analysis 81272KITE KIT Mutation, Exons 8-11 & 17, Hematologic Neoplasms 81272GISTP GIST Targeted Gene Panel by Next Generation Sequencing, Tumor 81272, 81314KITAS KIT Asp816Val Mutation Analysis, V 81273KITB KIT Asp816Val Mutation Analysis, Blood 81273KITBM KIT Asp816Val Mutation Analysis, Qualitative PCR, Bone Marrow 81273KRASC KRAS Mutation Analysis, 7 Mutation Panel, Colorectal 81275KRASO KRAS Mutation Analysis, 7 Mutation Panel, Other (Non-Colorectal) 81275KRASD Cell-free DNA KRAS 12, 13, 61,146, Blood 81275, 81276IL28V Interleukin 28B (IL28B) Variant (rs12979860) 81283MGMT MGMT Promoter Methylation, Tumor 81287BMLHH MLH1 Hypermethylation Analysis (Bill Only) 81288ML1HM MLH1 Hypermethylation Analysis, Tumor 81288MLHPB MLH1 Hypermethylation Analysis, Blood 81288MTHAC 5,10-Methylenetetrahydrofolate Reductase A1298C, Mutation, Blood 81291MTHFR 5,10-Methylenetetrahydrofolate Reductase C677T, Mutation, Blood 81291MTHP 5,10-Methylenetetrahydrofolate Reductase C677T and A1298C, Mutations, Blood 81291MLH1Z MLH1 Gene, Full Gene Analysis 81292_G005 Gene MLH1, Known Mutation (Bill Only) 81293MSH2Z MSH2 Gene, Full Gene Analysis 81295_G006 Gene MSH2, Known Mutation (Bill Only) 81296MSH6Z MSH6 Gene, Full Gene Analysis 81298


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Mayo Test Id Test Name CPT Code_G007 Gene MSH6, Known Mutation (Bill Only) 81299MSI Microsatellite Instability (MSI), Tumor 81301MECPZ MECP2 Gene, Full Gene Analysis 81302, 81304_G008 Gene MECP2, Known Mutation (Bill Only) 81303_G076 Gene MECP2, MLPA, Known Mutation (Bill Only) 81304LPLFX MYD88 L265P with Reflex to CXCR4 81305MYD88 MYD88 L265P Gene Mutation Analysis 81305NPM1 Nucleophosmin (NPM1) Mutation Analysis 81310NSRGP Noonan Syndrome and Related Disorders Multi-Gene Panel, Blood 81311, 81404, 81405x2, 81406x6, 81479PMNSR Postmortem Noonan and Related Panel, Tissue 81311, 81404, 81405x2, 81406x6, 81479PDG12 PDGFRA Exon 12, Mutation Analysis 81314PDG14 PDGFRA Exon 14, Mutation Analysis 81314PDG18 PDGFRA Exon 18, Mutation Analysis 81314PMLR PML/RARA Quantitative, PCR 81315_PMS2 PGL_PMS2C (Bill Only) 81317, 81319PMS2Z PMS2 Gene, Full Gene Analysis 81317, 81319_G068 Gene PMS2, Known Mutation (Bill Only) 81318_G069 Gene PMS2, MLPA, Known Mutation (Bill Only) 81319PTENZ PTEN Gene, Full Gene Analysis 81321_G014 Gene PTEN, Known Mutation (Bill Only) 81322PMPDD PMP22 Gene, Large Deletion and Duplication Analysis 81324_G088 Gene PMP22, MLPA, Known Mutation (Bill Only) 81326_G125 Gene PMP22, Known Mutation (Bill Only) 81326SLC1V Solute Carrier Organic Anion Transporter Family Member 1B1 (SLCO1B1) Genotype, Statin 81328SMNCS Spinal Muscular Atrophy Carrier Screening 81329SMNDX Spinal Muscular Atrophy Diagnostic Assay 81329PWAS Prader-Willi/Angelman Syndrome, Molecular Analysis 81331SMN1Z SMN1 Gene, Full Gene Analysis 81336_G115 Gene SMN1, Known Mutation (Bill Only) 81337TCRVB TCR V-Beta Repertoire Analysis by Spectratyping, Blood 81340TCGBM T-Cell Receptor Gene Rearrangement, Bone Marrow 81340, 81342TCGR T-Cell Receptor Gene Rearrangement, Blood 81340, 81342TCGRV T-Cell Receptor Gene Rearrangement, Varies 81340, 81342TERT TERT Promoter Analysis, Tumor 81345U1A1V UDP-Glucuronosyl Transferase 1A1 TA Repeat Genotype, UGT1A1 81350_G129 Gene HBB, Known Mutation (Bill Only) 81362BTHAL Beta-Globin Gene, Large Deletion/Duplication 81363


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Mayo Test Id Test Name CPT CodeWBDD Beta-Globin Cluster Locus Deletion/Duplication 81363WBDDR Beta-Globin Cluster Locus Deletion/Duplication, Blood 81363WBSEQ Beta Globin Gene Sequencing, Blood 81364WBSQR Beta-Globin Gene Sequencing, Blood 81364NGMEM Red Blood Cell Membrane Sequencing, Varies 81364, 81405, 81479NGCDA Congenital Dyserythropoietic Anemia Sequencing, Varies 81364, 81479DISI HLA Class I Molecular Typing Disease Association 81372DIS2 HLA Class II Molecular Typing Disease Association 81375NARC Narcolepsy-Associated Antigen, HLA-DQB1 Typing, Blood 81376CDGF Celiac Disease Comprehensive Cascade for Patients on a Gluten-Free Diet 81376x2CELI Celiac-Associated HLA-DQ Typing 81376x2CDCOM Celiac Disease Comprehensive Cascade 81376x2, 82784HL57V HLA-B*57:01 Genotype, PGx 81381HL58O HLA-B*5801 Genotype, Allopurinol Hypersensitivity, Saliva 81381HLA58 HLA-B*5801 Genotype, Allopurinol Hypersensitivity, Blood 81381CARPB Carbamazepine Hypersensitivity Pharmacogenomics, Blood 81381x2CARPO Carbamazepine Hypersensitivity Pharmacogenomics, Saliva 81381x2APOEG Apolipoprotein E Genotyping, Blood 81401DSRCT Desmoplastic Small Round-Cell Tumor by Reverse Transcriptase PCR (RT-PCR) 81401GAL14 Galactosemia Gene Analysis (14-Mutation Panel) 81401VWD2N Von Willebrand Disease 2N (Subtype Normandy) 81401NBSE Newborn Screening Expanded Panel, Blood Spot 81401, 81479, 82261, 82760, 82776, 82960, 83020, 83498, 83516, 83789, 84436,

84443NBSR Newborn Screen Recommended Panel, Blood Spot 81401, 81479, 82261, 82760, 82776, 83020, 83498, 83516, 83789, 84436, 84443KD2T Krabbe Disease Second-Tier Newborn Screen, Blood Spot 81401, 82542ARMS Alveolar Rhabdomyosarcoma by Reverse Transcriptase PCR (RT-PCR) 81401x2BWRS Beckwith-Wiedemann Syndrome (BWS)/Russell-Silver Syndrome (RSS) Molecular Analysis 81401x2EWS Ewing Sarcoma, by Reverse Transcriptase PCR (RT-PCR) 81401x2SYT Synovial Sarcoma by Reverse Transcriptase PCR (RT-PCR) 81401x2UNIPD Uniparental Disomy (UPD) 81402CYPZ 21-Hydroxylase Gene (CYP21A2), Full Gene Analysis 81402, 81405BTKK Bruton's Tyrosine Kinase (BTK) Genotype, Known Mutation Sequence 81403CTNNB Beta-Catenin (CTNNB1) Mutation Analysis, Tumor 81403F81B Hemophilia A F8 Gene, Intron 1 Inversion Known Mutation, Whole Blood 81403F81P Hemophilia A F8 Gene, Intron 1 Inversion Known Mutation Analysis, Amniotic Fluid or Chorionic Villus 81403F822B Hemophilia A F8 Gene, Intron 22 Inversion Known Mutation, Whole Blood 81403F822P Hemophilia A F8 Gene, Intron 22 Inversion Mutation Analysis, Amniotic Fluid or Chorionic Villus Sampling 81403F8INP Hemophilia A F8 Gene, Intron 1 and 22 Inversion Mutation Analysis, Amniotic Fluid or Chorionic Villus Sampling 81403


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Mayo Test Id Test Name CPT CodeF8INV Hemophilia A F8 Gene, Intron 1 and 22 Inversion Mutation Analysis, Whole Blood 81403F9KMP Hemophilia B, F9 Gene Known Mutation Analysis, Amniotic Fluid or Chorionic Villus Sampling 81403FIXKM Factor IX Gene Known Mutation Screening 81403_G011 Gene IDUA (Hurler Syndrome- MPS-I), Known Mutation (Bill Only) 81403_G015 Gene SMAD4, Known Mutation (Bill Only) 81403_G016 Gene STK11, Known Mutation (Bill Only) 81403_G017 Gene TP53, Known Mutation (Bill Only) 81403_G018 Gene IDS (Hunter Syndrome- MPS-II), Known Mutation (Bill Only) 81403_G020 Gene SPINK1, Known Mutation (Bill Only) 81403_G021 Gene PRSS1, Known Mutation (Bill Only) 81403_G023 Gene MEFV, Known Mutation (Bill Only) 81403_G025 Gene ABCD1, Known Mutation (Bill Only) 81403_G026 Gene CDH1, Known Mutation (Bill Only) 81403_G032 Gene ACADVL (VLCAD Deficiency), Known Mutation (Bill Only) 81403_G033 Gene ACADM (MCAD Deficiency), Known Mutation (Bill Only) 81403_G034 Gene ACADS (SCAD Deficiency), Known Mutation (Bill Only) 81403_G036 Gene MAPT, Known Mutation (Bill Only) 81403_G037 Gene PKHD1 (Autosomal Recessive Polycystic Kidney Disease), Known Mutation (Bill Only) 81403_G038 Gene GRN (Progranulin), Known Mutation (Bill Only) 81403_G042 Gene ATP7B (Wilson Disease), Known Mutation (Bill Only) 81403_G043 Gene GAA, Known Mutation (Bill Only) 81403_G045 Gene GALT, Known Mutation (Bill Only) 81403_G046 Gene GLA (Fabry Disease), Known Mutation (Bill Only) 81403_G047 Gene BTD (Biotinidase Deficiency), Known Mutation (Bill Only) 81403_G048 Gene HEXA (Tay-Sachs Disease), Known Mutation (Bill Only) 81403_G052 Gene MMACHC (Methylmalonic Aciduria and Homocystinuria, cblC Type), Known Mutation (Bill Only) 81403_G053 Gene GBA (Gaucher Disease), Known Mutation (Bill Only) 81403_G054 Gene SMPD1 (Niemann-Pick Disease, Types A and B), Known Mutation (Bill Only) 81403_G055 Gene CPT2 (Carnitine Palmitoyltransferase II Deficiency), Known Mutation (Bill Only) 81403_G056 Gene TTR (Transthyretin-Associated Familial Amyloidosis), Known Mutation (Bill Only) 81403_G057 Gene UBE3A, Known Mutation (Bill Only) 81403_G058 Gene GALC (Krabbe Disease), Known Mutation (Bill Only) 81403_G065 Gene SLC25A20 (Carnitine-Acylcarnitine Translocase Deficiency), Known Mutation (Bill Only) 81403_G066 Gene ARSA, Known Mutation (Bill Only) 81403_G067 Gene NPC1 or NPC2 (Niemann-Pick Type C), Sequencing or MLPA, Known Mutation (Bill Only) 81403_G070 Gene RAI1, Known Mutation (Bill Only) 81403_G071 Gene MYH/MutYH, Known Mutation (Bill Only) 81403


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Mayo Test Id Test Name CPT Code_G077 Gene RET, Known Mutation (Bill Only) 81403_G079 Gene CASR (Calcium Sensing Receptor), Known Mutation (Bill Only) 81403_G080 Gene VHL, Known Mutation (Bill Only) 81403_G081 Gene VHL, MLPA, Known Mutation (Bill Only) 81403_G083 Gene SDHB or SDHC or SDHD, MLPA, Known Mutation (Bill Only) 81403_G084 Gene SDHB or SDHC or SDHD, Known Mutation (Bill Only) 81403_G087 Gene DMD, MLPA, Known Mutation (Bill Only) 81403_G089 Gene MPZ, MLPA, Known Mutation (Bill Only) 81403_G102 Gene SERPINA1, Known Mutation (Bill Only) 81403_G112 Gene SDHAF2, Known Mutation (Bill Only) 81403_G113 Gene TMEM127, Known Mutation (Bill Only) 81403_G114 Gene MAX, Known Mutation (Bill Only) 81403_G130 Known Familial Variant, Other (Bill Only) 81403KVAR1 Known Variant Analysis-1 Variant 81403MPLB MPL Exon 10 Mutation Detection, Blood 81403MPLM MPL Exon 10 Mutation Detection, Bone Marrow 81403MPLR MPL Exon 10 Mutation Detection, Reflex 81403MPLVA MPL Exon 10 Mutation Detection, Varies 81403MPNML MPL Exon 10 Sequencing, Reflex 81403YMCRO Y Chromosome Microdeletions, Molecular Detection 81403SDHDZ SDHD Gene (Succinate Dehydrogenase Subunit D), Full Gene Analysis 81403, 81404VHLZ VHL (Von Hippel-Lindau) Gene, Full Gene Analysis 81403, 81404LQTGP Long QT Syndrome Multi-Gene Panel, Blood 81403, 81404, 81406x2, 81407, 81479SDHBZ SDHB Gene (Succinate Dehydrogenase Subunit), Full Gene Analysis 81403, 81405_G098 Skeletal Muscle Channelopathy Panel 81403, 81406x2, 81479BTKMP Bruton's Tyrosine Kinase (BTK) Genotype and Protein Analysis, Known Mutation Sequencing and Flow Cytometry 81403, 88184KVAR2 Known Variant Analysis-2 Variants 81403x2SDHP SDHB, SDHC, SDHD Gene Panel 81403x2, 81404x2, 81405x2_G082 Gene SHDP, MLPA, Known Mutation (Bill Only) 81403x3KVAR3 Known Variant Analysis-3+ Variants 81403x3ATTRZ TTR Gene (Transthyretin-Associated Familial Amyloidosis), Full Gene Analysis 81404BTDZ Biotinidase Deficiency (BTD Gene), Full Gene Analysis 81404CPT2Z Carnitine Palmitoyltransferase II Deficiency (CPT2 Gene), Full Gene Analysis 81404MHCZ Methylmalonic Aciduria and Homocystinuria, cblC Type (Gene MMACHC), Full Gene Analysis 81404PRSSZ PRSS1 Gene, Full Gene Analysis 81404SPNKZ SPINK1 Gene, Full Gene Analysis 81404VHLE VHL Gene, Erythrocytosis Mutation Analysis 81404


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Mayo Test Id Test Name CPT CodeSDHCZ SDHC Gene (Succinate Dehydrogenase Subunit C), Full Gene Analysis 81404, 81405_G096 Emery-Dreifuss Panel 81404, 81405x2, 81406, 81479_G092 Myofibrillar Myopathy Panel 81404, 81405x2, 81406x2, 81479_G123 Febrile Seizure Panel (Bill Only) 81404, 81405x2, 81407, 81479_G110 Normal Transferrin CDG Panel - 60 Genes (Bill Only) 81404, 81405x3, 81406x6, 81479_G109 Comprehensive CDG Panel - 116 Genes (Bill Only) 81404, 81405x4, 81406x7, 81479NPCZ Niemann-Pick Type C Disease (Genes NPC1 & NPC2), Full Gene Analysis 81404, 81406BRGGP Brugada Syndrome Multi-Gene Panel, Blood 81404, 81406, 81407, 81479ARSAZ ARSA Gene, Full Gene Analysis 81405CACTZ Carnitine-Acylcarnitine Translocase Deficiency (SLC25A20 Gene), Full Gene Analysis 81405CASRZ CASR (Calcium Sensing Receptor) Gene, Full Gene Analysis 81405CPOXZ CPOX Gene, Full Gene Analysis 81405CTRCZ CTRC Gene, Full Gene Analysis 81405FABRZ Fabry Disease (GLA Gene), Full Gene Analysis 81405MPS2Z Hunter Syndrome- MPS-II (IDS Gene), Full Gene Analysis 81405P53CA Hematologic Neoplasms, TP53 Somatic Mutation, DNA Sequencing Exons 4-9 81405PKLRG Pyruvate Kinase Liver and Red Blood Cell (PKLR) Full Gene Sequencing and Large Deletion Detection 81405SCADZ Short-Chain Acyl-CoA Dehydrogenase (SCAD) Deficiency (ACADS Gene), Full Gene Analysis 81405STKZ STK11 Gene, Full Gene Analysis 81405TP53Z TP53 Gene, Full Gene Analysis 81405XALDZ X-Linked Adrenoleukodystrophy (ABCD1 Gene), Full Gene Analysis 81405APPAN Acute Porphyria, Multi-Gene Panel 81405, 81406x2_G124 Epilepsy with Migraine Panel (Bill Only) 81405, 81406x2, 81407x2, 81479LUNGR Lung Cancer Rearrangement Testing, Tumor 81405, 81479_G111 Abnormal Transferrin CDG Panel - 51 Genes (Bill Only) 81405x2, 81406, 81479BTKS Bruton's Tyrosine Kinase (BTK) Genotype, Full Gene Sequence 81406CDH1Z CDH1 Gene, Full Gene Analysis 81406CMAH Chromosomal Microarray, Hematologic Disorders 81406CMAPT Chromosomal Microarray, Tumor, FFPE 81406CMAT Chromosomal Microarray, Tumor, Fresh or Frozen 81406GAAZ Pompe Disease (Gene GAA), Full Gene Sequencing 81406GALTZ GALT Gene, Full Gene Analysis 81406GRNZ Progranulin Gene (GRN), Full Gene Analysis 81406HEXAZ Tay-Sachs Disease, HEXA Gene, Full Gene Analysis 81406HMBSZ HMBS Gene, Full Gene Analysis 81406KRABZ Krabbe Disease (GALC Gene), Full Gene Analysis and Large (30 kb) Deletion, PCR 81406MAPTZ MAPT Gene, Sequence Analysis, 7 Exon Screening Panel 81406


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Mayo Test Id Test Name CPT CodeMPS1Z Hurler Syndrome- MPS-I (IDUA Gene), Full Gene Analysis 81406MYHZ MUTYH Gene, Full Gene Analysis 81406PPOXZ PPOX Gene, Full Gene Analysis 81406RETZ RET Proto-Oncogene, Full Gene Analysis 81406SMADZ SMAD4 Gene, Full Gene Analysis 81406UBE3Z UBE3A Gene, Full Gene Analysis 81406VLCZ Very Long Chain Acyl-CoA Dehydrogenase Deficiency (ACADVL Gene), Full Gene Analysis 81406WDZ Wilson Disease (ATP7B Gene), Full Gene Analysis 81406_G131 Tuberous Sclerosis Panel (Bill Only) 81406, 81407BTKFP Bruton's Tyrosine Kinase (BTK) Genotype and Protein Analysis, Full Gene Sequencing and Flow Cytometry 81406, 88184FHRGP Familial Hypercholesterolemia and Related Disorders Multi-Gene Panel 81406x2, 81479HHTGP Hereditary Hemorrhagic Telangiectasia Gene Panel 81406x2, 81479ARPKZ Autosomal Recessive Polycystic Kidney Disease (ARPKD), Full Gene Analysis (PKHD1 gene) 81408FBN1B FBN1, Full Gene Sequence, Varies 81408EDSGP Ehlers-Danlos Syndrome Panel (12 Genes), Next-Generation Sequencing, Deletion/Duplication Analysis, Varies 81408x2, 81479MFRGP Marfan Syndrome and Related Disorders Multi-Gene Panel, Varies 81410PMMFR Postmortem Marfan and Related Panel, Tissue 81410WES Whole Exome Sequencing 81415, 81416x2NIPS Cell-Free DNA Prenatal Screen 81420NIPST Cell-free DNA prenatal Screen, Autosomal Trisomy and Sex Chromosome Aneuploidy 81420HCRC Hereditary Colon Cancer Multi-Gene Panel 81435HPGP Hereditary Pheochromocytoma/Paraganglioma Multi Gene Panel 81437ARVGP Arrhythmogenic Cardiomyopathy Multi-Gene Panel, Blood 81439CCMGP Comprehensive Cardiomyopathy Multi-Gene Panel, Blood 81439DCMGP Dilated Cardiomyopathy Multi-Gene Panel, Blood 81439HCMGP Hypertrophic Cardiomyopathy Multi-Gene Panel, Blood 81439PMCMP Postmortem Cardiomyopathy Panel, Tissue 81439MITON Mitochondrial Nuclear Gene Panel by Next-Generation Sequencing (NGS) 81440MITOT Combined Mitochondrial Analysis-Full Genome & Nuclear Gene Panel 81440, 81460AUTOP Autoinflammatory Primary Immunodeficiency (PID) Gene Panel 81443BCLGP B-Cell Deficiency Primary Immunodeficiency (PID) Gene Panel 81443_G090 Motor Neuron Disease Panel 81443_G091 Muscular Dystrophy Panel 81443_G093 Congenital Myopathy Panel 81443_G094 Congenital Myasthenic Syndromes 81443_G095 Metabolic Myopathy Panel 81443_G097 Distal Myopathy Panel 81443


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Mayo Test Id Test Name CPT Code_G099 Myopathy Expanded Panel 81443_G100 Distal Weakness Expanded Panel 81443_G101 Rhabdomyolysis and Myopathy Panel 81443_G116 Epilepsy Expanded Panel (Bill Only) 81443_G117 Encephalopathy with Seizures Panel (Bill Only) 81443_G118 Early Epileptic Encephalopathy Panel (Bill Only) 81443_G119 Neuronal Migration Disorders Panel (Bill Only) 81443_G120 Progressive Myoclonic Epilepsy Panel (Bill Only) 81443_G121 Infantile Spasms Panel (Bill Only) 81443_G122 Focal Epilepsy Panel (Bill Only) 81443G158 Lysosomal Storage Disease Panel (Bill Only) 81443G159 Neuronal Ceroid Lipofuscinosis (Batten Disease) Panel (Bill Only) 81443G160 Peroxisomal Disorder Panel (Bill Only) 81443G161 Glycogen Storage Disease Panel (Bill Only) 81443IBDGP Inflammatory Bowel Disease Primary Immunodeficiency (PID) Panel 81443NGENZ Red Blood Cell Enzyme Sequencing, Varies 81443NGHHA Hereditary Hemolytic Anemia Comprehensive Sequencing, Varies 81443PMARP Postmortem Arrhythmia Panel, Tissue 81443SCDGP Severe Combined Immunodeficiency (SCID) Gene Panel 81443SCNGP Congenital Neutropenia Primary Immunodeficiency (PID) Gene Panel 81443CAPN Solid Tumor Targeted Cancer Gene Panel by Next Generation Sequencing 81445LNGPR Lung Cancer Targeted Gene Panel w/Rearrangement Testing, Tumor 81445LUNGP Lung Cancer Targeted Gene Panel, Tumor 81445MELP Melanoma Targeted Gene Panel by Next Generation Sequencing, Tumor 81445_G103 Peripheral Neuropathy Expanded Panel (Bill Only) 81448_G104 Motor and Sensory Neuropathy Panel (Bill Only) 81448_G105 Hereditary Sensory Neuropathy Panel (Bill Only) 81448_G106 Hereditary Motor Neuropathy Panel (Bill Only) 81448_G107 Spastic Paraplegia Neuropathy Panel (Bill Only) 81448_G108 Metabolic or Syndromic Neuropathies (Bill Only) 81448G151 Peripheral Neuropathy Custom Gene Panel Tier 2 (Bill Only) 81448G152 Peripheral Neuropathy Custom Gene Panel Tier 3 (Bill Only) 81448G153 Peripheral Neuropathy Custom Gene Panel Tier 4 (Bill Only) 81448G154 Peripheral Neuropathy Custom Gene Panel Tier 5 (Bill Only) 81448NGAML Next-Generation Sequencing, Acute Myeloid Leukemia, 11-Gene Panel 81450NGSFX Bioinformatics Analysis for Acute Myeloid Leukemia 4- or 11-Gene Panels 81450NGSHM OncoHeme Next-Generation Sequencing for Myeloid Neoplasms 81450


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Mayo Test Id Test Name CPT CodeNGSMM Next-Generation Sequencing (NGS), Multiple Myeloma 81455NONCP Neuro-Oncology Expanded Panel with Rearrangement, Tumor 81455MITOP Mitochondrial Full Genome Analysis by Next Generation Sequencing (NGS) 814602B6V Cytochrome P450 2B6 Genotype, Varies 81479AGXTZ AGXT Gene, Full Gene Analysis 81479AHUSP Complement-Mediated Atypical Hemolytic-Uremic Syndrome (aHUS)/Thrombotic Microangiopathy (TMA) Gene Panel 81479APO1Z Apolipoprotein A-I (APOA1) Gene, Full Gene Analysis 81479APO2Z Apolipoprotein A-II (APOA2) Gene, Full Gene Analysis 81479BMPRZ BMPR1A Gene, Full Gene Analysis 81479BPGMM 2,3-Biphosphoglycerate Mutase (BPGM), Full Gene Sequencing 81479C9ORF C9orf72 Hexanucleotide Repeat, Molecular Analysis 81479CDKZ CDKN1C Gene, Full Gene Analysis 81479CHEKZ CHEK2 Gene, Full Gene Analysis 81479CSF3R CSF3R Exon 14 & 17 Mutation Detection 81479CXCFX CXCR4, Gene Mutation, Reflex (Bill Only) 81479CXLPL CXCR4 Mutation Analysis 81479DRD4 Dopamine Receptor D4 Genotype (DRD4), Blood 81479DRD4O Dopamine Receptor D4 Genotype (DRD4), Saliva 81479ESR1 Estrogen Receptor 1 (ESR1) Mutation Analysis, Tumor 81479FECHZ Ferrochelatase (FECH) Gene, Full Gene Analysis 81479FGAZ Fibrinogen Alpha-Chain (FGA) Gene, Full Gene Analysis 81479FLCNZ Birt-Hogg-Dube Syndrome (FLCN Gene), Full Gene Analysis 81479_G001 Gene GRHPR, Known Mutation (Bill Only) 81479_G002 Gene PPOX, Known Mutation (Bill Only) 81479_G009 Gene MLH3, Known Mutation (Bill Only) 81479_G010 Gene CHEK2, Known Mutation (Bill Only) 81479_G012 Gene AXIN2, Known Mutation (Bill Only) 81479_G013 Gene BMPR1A, Known Mutation (Bill Only) 81479_G019 Gene FLCN, Known Mutation (Bill Only) 81479_G022 Gene CTRC, Known Mutation (Bill Only) 81479_G024 Gene TNFRSF1A, Known Mutation (Bill Only) 81479_G027 Gene NAGLU (Mucopolysaccharidosis IIIB), Known Mutation (Bill Only) 81479_G028 Gene SGSH (Mucopolysaccharidosis IIIA), Known Mutation (Bill Only) 81479_G029 Gene ARSB (Mucopolysaccharidosis VI), Known Mutation (Bill Only) 81479_G030 Gene GNPTAB, Known Mutation (Bill Only) 81479_G031 Gene SEPT9, Known Mutation (Bill Only) 81479_G035 Gene FECH (Ferrochelatase), Known Mutation (Bill Only) 81479


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Mayo Test Id Test Name CPT Code_G039 Gene FTCD, Known Mutation (Bill Only) 81479_G040 Gene CDNK1C, Known Mutation (Bill Only) 81479_G041 Gene CPOX, Known Mutation (Bill Only) 81479_G044 Gene HMBS, Known Mutation (Bill Only) 81479_G049 Gene AGXT, Known Mutation (Bill Only) 81479_G051 Gene MLYCD, Known Mutation (Bill Only) 81479_G059 Gene GSN, Known Mutation (Bill Only) 81479_G060 Gene LYZ, Known Mutation (Bill Only) 81479_G061 Gene FGA (Fibrinogen Alpha-Chain), Known Mutation (Bill Only) 81479_G062 Gene APOA1, Known Mutation (Bill Only) 81479_G063 Gene APOA2, Known Mutation (Bill Only) 81479_G064 Gene MMADHC (Methylmalonic Aciduria and Homocystinuria, cblD Type), Known Mutation (Bill Only) 81479_G072 Gene HGSNAT, Known Mutation (Bill Only) 81479_G073 Gene GNS or GRHPR, MLPA, Known Mutation (Bill Only) 81479_G074 Gene PSAP, Known Mutation (Bill Only) 81479_G078 Gene SUMF1 (Multiple Sulfatase Deficiency), Known Mutation (Bill Only) 81479_G132 SEPT9 Gene, Full Gene Analysis (Bill Only) 81479GATA2 GATA-Binding Protein 2 (GATA2) Comprehensive Gene Sequencing 81479GBAZ Gaucher Disease (GBA Gene), Full Gene Analysis 81479GFDZ FTCD Gene, Full Gene Analysis 81479GNPTZ GNPTAB Gene, Full Gene Analysis 81479GRHPZ GRHPR Gene, Full Gene Analysis 81479GSNZ Gelsolin (GSN) Gene, Full Gene Analysis 81479HEMP Hereditary Erythrocytosis Mutations 81479HEY1 Mesenchymal Chondrosarcoma, RT-PCR 81479HTT Serotonin Transporter Genotype 81479HTTO Serotonin Transporter Genotype, Saliva 81479LYZZ Lysozyme (LYZ) Gene, Full Gene Analysis 81479MCADZ Medium-Chain Acyl-CoA Dehydrogenase (MCAD) Deficiency (ACADM Gene), Full Gene Analysis 81479MHDZ Methylmalonic Aciduria and Homocystinuria, cblD Type (Gene MMADHC), Full Gene Analysis 81479MLYCZ MLYCD Gene, Full Gene Analysis 81479MP3AZ Mucopolysaccharidosis IIIA (SGSH Gene), Full Gene Analysis 81479MP3BZ Mucopolysaccharidosis IIIB (NAGLU Gene), Full Gene Analysis 81479MP3CZ Mucopolysaccharidosis IIIC, Full Gene Analysis (MPS IIIC) 81479MP3DZ Mucopolysaccharidosis IIID (GNS Gene), Full Gene Analysis 81479MPS6Z Mucopolysaccharidosis VI (Gene ARSB), Full Gene Analysis 81479NAT2 N-Acetyltransferase 2 Gene (NAT2), Full Gene Sequence 81479


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Mayo Test Id Test Name CPT CodeNPABZ Niemann-Pick Disease, Types A and B (Gene SMPD1), Full Gene Analysis 81479NTRK NTRK Gene Fusion Panel, Tumor 81479OPRM1 Opioid Receptor, Mu 1 (OPRM1) Genotype for Naltrexone Efficacy. 81479OPRMO Opioid Receptor, Mu 1 (OPRM1) Genotype for Naltrexone Efficacy, Saliva 81479PHAGP Phagocytic Primary Immunodeficiency (PID) Gene Panel 81479SCDT2 Severe Combined Immunodeficiency Syndrome (SCID) Newborn Screening, Blood Spot 81479SERPZ SERPINA1 Gene, Full Gene Analysis 81479SFPAN Mucopolysaccharidosis III, Multi-Gene Panel (MPS III) 81479SUMFZ Multiple Sulfatase Deficiency (Gene SUMF1), Full Gene Analysis 81479TACIF Transmembrane Activator and CAML Interactor (TACI), Full Gene Analysis 81479TBNGS Mycobacterium tuberculosis Complex, Molecular Detection of Drug Resistance Markers, Whole Genome Sequencing 81479TELGP Telomere Defects Gene Panel 81479TREC T Cell Receptor Excision Circles (TREC) Analysis, Blood 81479UGTFG UDP-Glucuronosyl Transferase 1A1 (UGT1A1), Full Gene Sequencing 81479WGSEQ Gamma Globin Full Gene Sequencing, Varies 81479WGSQR Gamma-Globin Full Gene Sequencing, Varies 81479XL2 FOXL2 Mutation Analysis, Tumor 814791STT1 First Trimester Maternal Screen, Serum 81508QUAD1 Quad Screen (Second Trimester) Maternal, Serum 81511SEQF Sequential Maternal Screen Part 2 - 2nd Trimester 81511FIBRO FibroTest-ActiTest, Serum 81596


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Impacted Test List - Insights€¦ · PR520 Coagulation Profile 81240, 81241, 81291 PR360 Venous Thrombosis Panel 81240, 81241, 83090, 85300, 85303, 85306, 86147x2 ... PMLR PML/RARA