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Unit Code 83122:
T-Cell Receptor Gene Rearrangement

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List Fee

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

$434.90 for #83038 "T-Cell Gene Rearrangement, PCR"

$150.00 for #84426 "HPGDE, DNA extraction"

$75.50 for #81481 "Interpretation and Report"

 

$660.40=Total List Fee (without Southern blot)

 

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

$490.30 for #83041 "T-Cell Gene Rearrangement, Southern Blot"

(if appropriate)

Test Classification

#83038 "T-Cell Gene Rearrangement, PCR"

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

"Interpretation and Report"

83912

 

'HPGDE, DNA extraction"

83891

 

"T-Cell Gene Rearrangement, PCR"

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

83901/x2 Amplification, target, multiplex, each additional nucleic acid

sequence beyond 2

83909/x2 Separation and Identification by high-resolution technique

 

"T-Cell Gene Rearrangement, Southern Blot" (if appropriate)

83892/x2 enzymatic digestion

83894/x2 Separation by gel electrophoresis

83896/x2 Nucleic acid probe, each

83897/x2 Nucleic acid transfer

Key