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Test ID: TCGBM
T-Cell Receptor Gene Rearrangement, PCR, Bone Marrow

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

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

$503.80 for #83038 T-Cell Gene Rearrangement, PCR

$165.50 for #84426 HPGDE, DNA Extraction

$87.50 for #81481 Interpretation and Report

 

$756.80 = Total List Fee

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 was developed using an analyte specific reagent. 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.

81340-TCB (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, PCR)

81342-TCG@ (T cell receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)

 

 For nonparticipating payers:

Interpretation and Report

83912

 

HPGDE, DNA extraction

83891

 

T-Cell Gene Rearrangement, PCR

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

83901 x 4-Amplification, target, multiplex, each additional nucleic acid sequence beyond 2

83909 x 6-Separation and identification by high-resolution technique