Unit Code 89033:
Warfarin Sensitivity, Genotype
List Fee
$259.40
The following test(s) will be added at additional charge:
$150.00 for #81769 "Rapid DNA Extraction"
$409.40 =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
Analyte Specific Reagent 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
"Rapid DNA Extraction"
83890
"Warfarin Sensitivity, Genotype"
83892/Enzymatic digestion
83900/Amplification, target, multiplex, first 2 nucleic acid sequences
83901/Amplification, target, multiplex, each additional nucleic acid
sequence beyond 2
83912/Interpretation and report
83914/ x12 Mutation identification by enzymatic ligation or primer
extension, single segment, each segment
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