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BCR-ABL Mutation Analysis

Sequencing

Indication

For initial detection and for monitoring of the mutational status of the BCR-ABL gene in CML patients who have developed resistance to imatinib or other kinase inhibitors.

Methodology

The presence of point mutations in the kinase domain of the BCR-ABL gene (codons 221-500) is assessed by direct Sanger sequencing of the bcr-abl fusion transcripts following nested PCR.

Test Parameters

The result will include the codon number, amino acid changes and relative abundance of the mutation(s) found. This test will detect mutated transcript that comprise at least 10% of total BCR-ABL fusion transcripts in sample.

Turnaround Time

10 days

Sample Requirements

  • 10 mls peripheral blood (PB) in purple top tube (EDTA Vacutainer), sent on wet ice

    or

  • 2-5 ml of bone marrow aspirate (BM), sent on wet ice

    or

  • 20 µg of purified RNA, sent on dry ice

    or

  • 10 µg of cDNA, sent on dry ice

CPT Codes

83891 (RNA Isolation), 83902, 83898 x 2, 83904x2, 83912

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.


© 2009 The University of Texas M. D. Anderson Cancer Center