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Test Code CALX CALR Mutation Analysis, Myeloproliferative Neoplasm (MPN), Reflex, Varies

Important Note

Cerner Order Name:   Send-out Other

Reporting Name

CALR, Gene Mutation, Exon 9, Reflex

Specimen Type

Varies


Specimen Required


Only orderable as a reflex. For more information see MPNR / Myeloproliferative Neoplasm, JAK2 V617F with Reflex to CALR and MPL, Varies.

 

Submit only 1 of the following specimens:

 

Specimen Type: Whole Blood

Container/Tube: Lavender top (EDTA) or yellow top (ACD solution B)

Specimen Volume: 3 mL

Collection Instructions:

1. Invert several times to mix blood.

2. Send whole blood specimen in original tube. Do not aliquot.

3. Label specimen as blood.

Specimen Stability Information: Ambient (preferred)7 days/Refrigerate 7 days

 

Specimen Type: Bone marrow

Container/Tube: Lavender top (EDTA) or yellow top (ACD solution B)

Specimen Volume: 2 mL

Collection Instructions:

1. Invert several times to mix bone marrow.

2. Send bone marrow specimen in original tube. Do not aliquot.

3. Label specimen as bone marrow.

Specimen Stability Information: Ambient (preferred)7 days/Refrigerate 7 days

 

Specimen Type: Extracted DNA from blood or bone marrow

Container/Tube: 1.5- to 2-mL tube

Specimen Volume: Entire specimen

Collection Instructions:

1. Label specimen as extracted DNA from blood or bone marrow.

2. Provide volume and concentration of the DNA on the label.

Specimen Stability Information: Frozen (preferred)/Refrigerate/Ambient


Specimen Minimum Volume

Whole blood/Bone marrow: 1 mL

Specimen Stability Information

Specimen Type Temperature Time
Varies Varies 7 days

Reference Values

Only orderable as a reflex. For more information see MPNR / Myeloproliferative Neoplasm, JAK2 V617F with Reflex to CALR and MPL, Varies.

 

An interpretive report will be provided.

Specimen Retention Time

Whole blood/Bone marrow: 2 weeks; Extracted DNA 3 months

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

81219-CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9

LOINC Code Information

Test ID Test Order Name Order LOINC Value
CALX CALR, Gene Mutation, Exon 9, Reflex 77174-1

 

Result ID Test Result Name Result LOINC Value
36998 Final Diagnosis 22637-3

Method Name

Only orderable as a reflex. For more information see MPNR / Myeloproliferative Neoplasm, JAK2 V617F with Reflex to CALR and MPL, Varies.

 

Polymerase Chain Reaction (PCR) and Fragment Analysis

Secondary ID

36997

Useful For

Aiding in the distinction between a reactive cytosis and a chronic myeloproliferative disorder

 

Evaluating mutations in CALR in an algorithmic process for the MPNR / Myeloproliferative Neoplasm, JAK2 V617F with Reflex to CALR and MPL, Varies

Reject Due To

Gross hemolysis Reject
Paraffin shavings Reject
Slides Reject
Moderately to severely clotted Reject
Paraffin embedded bone marrow aspirate clot or biopsy blocks Reject

Day(s) Performed

Monday through Friday

Report Available

7 to 10 days