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36943: Pharmacogenomics Panel Print View
Genes/Loci Tested:      
Consider Alternatives      
Anesthesia      
Cancer/Hematology      
Cardiovascular      
Diabetes      
Gastrointestinal      
Infectious Diseases      
Neurology      
Pain      
Psychiatry and Addiction      
Rheumatology      
Transplantation      
Urologicals      
Sjogren's Syndrome      
Gaucher Disease      
Proceed with Caution      
Anesthesia      
Cancer/Hematology      
Cardiovascular      
Diabetes      
Gastrointestinal      
Infectious Diseases      
Neurology      
Pain      
Psychiatry and Addiction      
Rheumatology      
Transplantation      
Urologicals      
Sjogren's Syndrome      
Gaucher Disease      
Use As Directed      
Anesthesia      
Cancer/Hematology      
Cardiovascular      
Diabetes      
Gastrointestinal      
Infectious Diseases      
Neurology      
Pain      
Psychiatry and Addiction      
Rheumatology      
Transplantation      
Urologicals      
Sjogren's Syndrome      
Gaucher Disease      
Actionable      
Informative      
Consider Alternatives      
Proceed with Caution      
Anesthesia      
Cancer/Hematology      
Cardiovascular      
Diabetes      
Gastrointestinal      
Infectious Diseases      
Neurology      
Pain      
Psychiatry and Addiction      
Rheumatology      
Transplantation      
Urologicals      
Sjogren's Syndrome      
Gaucher Disease      
12q15      
ABCB1      
ABCG2      
ADRA2A      
ALDH2      
ANKK1      
BDNF      
C11orf65      
CACNA1C      
CEP72      
COMT      
CYP1A2      
CYP2B6      
CYP2C8      
CYP2C9      
CYP2C19      
CYP2D6      
CYP3A4      
CYP3A5      
CYP4F2      
DBH      
DPYD      
DRD2      
F5      
G6PD      
GRIK1      
GRIK4      
GRIN2B      
HLA-A*31:01      
HLA-B*15:02      
HLA-B*57:01      
HLA-B*58:01      
HTR2A      
HTR2C      
IFNL3      
MTHFR      
NAT2      
NUDT15      
OPRM1      
RARG      
SLC6A4      
SLC28A3      
SLC47A2      
SLCO1B1      
TPMT      
UGT1A1      
UGT1A6      
UGT2B15      
VKORC1      
Signature      
Method and Limitations      
Reporting ID      

PRIMARY
1 Whole Blood EDTA 5 (2) mL   Room Temperature - 30 Day(s)/Refrigerated - 8 Day(s)  
ALTERNATE
  Saliva in Oragene DNA Kit   Refrigerated - 14 Day(s)/Room Temperature - 14 Day(s)  
  Buccal Swab   Room Temperature - 14 Day(s)  
  Whole Blood ACD 5 (2) mL   Refrigerated - 8 Day(s)/Room Temperature - 30 Day(s)  

Individuals with particular genotypes may find their metabolism capabilities to certain prescription drugs range from extremely poor to extremely fast, and may need to avoid or adjust to a higher or lower drug dosage in order to achieve a therapeutic effect. This test analyzes high-evidence markers for genes/loci of known pharmacogenomics value allowing clinicians to gain valuable insight into an individual's ability to metabolize drugs based on their genetic make-up.

Collect saliva in an OGD-500 Oragene-Dx collection kit up to the
"FILL TO" line on the device.
Patient Preparation: Do not eat, drink, smoke or chew gum 30 minutes
prior to saliva and/or buccal swab collection.
Setup Schedule
Wednesday

Reported (Analytical Time)
8 days

CPT Codes
81479x30,81227,81225,81226,81230,81231,81232,81400,81247,81381x4,81283,81291,81306,81328,81335,81350,81355

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
Physician Attestation of Informed Consent This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, AZ, DE, FL, GA, IL, LA, MA, MI, MN, MO, NE, NV, NH, NJ, NM, NY, OR, SD or VT or test is performed in MA.
Preferred Specimen: 5 mL (2 mL minimum) whole blood collected in EDTA (lavender-top) tube
Acceptable Specimen: 5 mL (2 mL minimum) whole blood collected in ACD (yellow-top) tube; Saliva collected in an OGD-500 Oragene-Dx collection kit up to the "FILL TO" line on the device; Buccal swab in an iSWAB-DNA collection kit
Reject Criteria: Gross hemolysis
Transport Temperature: Room temperature
Specimen Stability: Frozen: Unacceptable
Methodology: Microarray
Report Available: 8 days from set up






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