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FAMILY GENOTYPE CLASS I:  (082-0063 {Renal}, 082-0019 {Non-Renal})

Clinical Indication:

Transplantation, disease association

Test Mnemonic:

GEN I, GENX I 

Methodology:

Genotype assignment of patient and family members

Performed:

Family Genotype

Turnaround Time:

Routine: 4 days; STAT: 8 hours

Specimen Requirements: Patient Preparation:   Predialysis (if applicable)

Collect:   Blood.  10 mL blood (with normal white cell count), Pale Yellow (Acid Citrate Dextrose) collection tube.

Specimen Preparation:   Routine venipuncture

Storage/Transport:   Deliver immediately to lab at room temperature; do not refrigerate

Stability:   Deliver immediately to Tissue Antigen Lab

Causes for Rejection:   Sample more than 72 hours old, incorrect tube, incorrect label, insufficient white cell count, poor viability

Clinical Information:

If applicable, state clinical information that is required to be provided with specimen.

Reference Range:

0, 1, or 2 haplotype match

Note:

Samples can be delivered to the Tissue Antigen Laboratory, Room 3.350J, Children's Hospital, Monday-Friday, 8 AM to 5:00 PM. Samples received after noon will be processed the next business day.

Schedule 24 hours in advance. The request form must contain the following information: patient name, UH #, physician's name, route, and extension.

CPT 4 Code:

 86813

Review 06/04/2012 by C. Garcia

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient.  Components of the organ or disease panels may be ordered individually.  The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

 

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