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Test ID: HNPCC
Hereditary Nonpolyposis Colorectal Cancer (HNPCC) Screen

List Fee Provides the Mayo Medical Laboratories list fee for performing the test

$376.60

The following test(s) will be added at an additional charge: 

$144.70 for #29005 "MLH-1, Immunostain" 

$144.70 for #29006 "MSH-2, Immunostain" 

$144.70 for #29007 "MSH-6, Immunostain" 

$144.70 for #29008 "PMS-2, Immunostain" 

$116.50 for #29234 "Slide Review, Molecular Genetics" 

 

$1,071.90 = Total List Fee 

Note: If

Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.

This test uses a reagent or kit labeled by the manufacturer as Research Use Only. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

81301 / Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed

"Slide Review, Molecular Genetics"

88387

"MLH-1, Immunostain"

88342 (if appropriate)

"MSH-2, Immunostain"

88342 (if appropriate)

"MSH-6, Immunostain"

88342 (if appropriate)

"PMS-2, Immunostain"

 

For nonparticipating payers

"Microsatellite Instability (MSI), Tumor"

83890 x 2-Molecular isolation or extraction

83900 x 2-Amplification, target, multiplex, first 2 nucleic acid sequences

83901 x 6-Amplification, target, multiplex, each additional nucleic acid sequences beyond 2

83909 x 2-Separation and identification by high-resolution technique

83912-Interpretation and report

"Slide Review, Molecular Genetics"

88387

"MLH-1, Immunostain"

88342 (if appropriate)

"MSH-2, Immunostain"

88342 (if appropriate)

"MSH-6, Immunostain"

88342 (if appropriate)

"PMS-2, Immunostain"

88342 (if appropriate)