Mobile Site ›
Print Page Email Page
Print Friendly View

Test ID: WARFP
Warfarin Sensitivity Genotype by Sequence Analysis, Blood

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

$515.30

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

$165.50 for #81769 "Rapid DNA Extraction" 

 

$680.80 = Total List Fee 

Note: If multiple drug metabolism genotype tests are ordered on the same patient and a single specimen is submitted for testing, the DNA extraction will only be charged once.

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 and its performance characteristics 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.

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Conditional

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.

81227-CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6)

81355-VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variants (eg, -1639/3673)

 

For nonparticipating payers:

Warfarin Sensitivity, Genotype

83892-Enzymatic digestion

83894-Separation by gel electrophoresis

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

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

83912-Interpretation and report

 

Warfarin Sensitivity Genotyping

83909 x 8

 

Rapid DNA Extraction

83890