NRAS Mutation Detection (8000101248) | |
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Test Mnemonic: | NRAS Codons 12, 13, 61 Mutations |
Specimen Requirements: | FFPE (tissue); Aspirate; Other (Tumor Specimen) |
Collection: | For FFPE: NEED 1 H&E AND 5 UNSTAINED SLIDES (10 MICRON) sequencially; and Need >20% tumor cells in the marked area for mutation assays For Aspirate: Need Estimation of Total Cells in the Marked Area for Nucleotide Extraction; and Need >20% tumor cells in the marked area for mutation assays |
Minimum Volume: | 1 H&E AND 5 UNSTAINED SLIDES (5-10 MICRON) |
Storage/Transport: | Ambient for FFPE and Aspirate |
Stability: | 30 days |
Causes for Rejection: | Incorrect specimen |
Reference Range: | Negative |
Turnaround Time: | 7 days |
Methodology: | Pyrosequencing |
Performed: | Molecular Diagnostics |
Synonyms: | NRAS, NRAS Hot-spot mutations |
CPT 4 Code: | 81311 |
Note: |
Oncogenic NRAS mutations have been linked to resistance to anti-EGFR therapies. Test results can predict response to anti-EGFR and MAPK pathway therapies in a variety of malignancies including colorectal cancer and melanoma.
Limit of detection: 10% mutant alleles (20% tumor cells). |
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-10 code or its verbal equivalent. |