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Unit Code 83001:
Familial Adenomatous Polyposis (FAP) Known Mutation

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List Fee

$175.00

 

One of the following tests may be added at an additional charge:

$199.70 for #82554 "Follow-up PCR"

$250.000 for #82555 "DNA Sequence, Follow-up Analysis"

$250.00 for #88873 "Familial Adenomatous Polyposis (FAP)

Large Deletion/Duplication"

Test Classification

This test was developed and its performance characteristics

determined by Laboratory Medicine and Pathology, Mayo Clinic.

This test has not been cleared or approved by the U.S. Food

and Drug Administration.

CPT Code Information

"Familial Adenomatous Polyposis (FAP) Known Mutation"

83891/Isolation or extraction of highly purified nucleic acid

83912/Interpretation and report

 

"Follow-up PCR"

83894/Separation by gel electrophoresis (if appropriate)

83898/Amplification, target, each nucleic acid sequence (if appropriate)

 

"DNA Sequence, Follow-up Analysis"

83892/Enzymatic digestion (if appropriate)

83894/Separation by gel electrophoresis (if appropriate)

83898/Amplification, target, each nucleic acid sequence (if appropriate)

83909/x2 Separation and identification by high-resolution technique

(If appropriate)

 

"Familial Adenomatous Polyposis (FAP) Large Deletion/Duplication"

83900/Amplification, target, multiplex, first 2 nucleic acid sequences (if

appropriate)

83909/Separation and identification by high-resolution technique (if

appropriate)

83914/x23 Mutation Identification by enzymatic ligation or primer

extension, single segment, each segment (if appropriate)

Key