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Unit Code 89040:
T-Cell Lymphoma, FISH, Blood or Bone Marrow

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List Fee

$499.40

(When chromosome analysis procedure is performed, it is charged

separately.)

 

An additional fee will be charged if 1 of the following is ordered:

$50.00 for #80024 "One Additional FISH Probe" (if appropriate)

$75.00 for #80025 "Two Additional FISH Probes" (if appropriate)

$100.00 for #87825 "Three Additional FISH Probes" (if appropriate)

$125.00 for #80026 "Four Additional FISH Probes" (if appropriate)

$150.00 for #87826 "Five Additional FISH Probes" (if appropriate)

$175.00 for #87827 "Six Additional FISH Probes" (if appropriate)

$200.00 for #87828 "Seven Additional FISH Probes" (if appropriate)

$225.00 for #87829 "Eight Additional FISH Probes" (if appropriate)

$250.00 for #87830 "Nine Additional FISH Probes" (if appropriate)

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

"T-Cell Lymphoma, FISH, Blood or Bone Marrow"

88271/x2 DNA probe, each

88275/x2 Interphase in situ hybridization

88291/Interpretation and report

 

"One Additional FISH Probe"

88271/DNA probe, each (if appropriate)

88275/Interphase in situ hybridization (if appropriate)

 

 "Two Additional FISH Probes"

88271/x2 DNA probe, each (if appropriate)

88275/Interphase in situ hybridization (if appropriate)

 

"Three Additional FISH Probes"

88271/x3 DNA probe, each (if appropriate)

88275/Interphase in situ hybridization (if appropriate)

 

 "Four Additional FISH Probes"

88271/x4 DNA probe, each (if appropriate)

88275/x2 Interphase in situ hybridization (if appropriate)

 

"Five Additional FISH Probes"

88271/x5 DNA probe, each (if appropriate)

88275/x2 Interphase in situ hybridization (if appropriate)

 

"Six Additional FISH Probes"

88271/x6 DNA probe, each (if appropriate)

88275/x3 Interphase in situ hybridization (if appropriate)

 

 "Seven Additional FISH Probes"

88271/x7 DNA probe, each (if appropriate)

88275/x3 Interphase in situ hybridization (if appropriate)

 

"Eight Additional FISH Probes"

88271/x8 DNA probe, each (if appropriate)

88275/x4 Interphase in situ hybridization (if appropriate)

 

"Nine Additional FISH Probes"

88271/x9 DNA probe, each (if appropriate)

88275/x4 Interphase in situ hybridization (if appropriate)

 

"Ten Additional FISH Probes"

88271/x10 DNA probe, each (if appropriate)

88275/x5 Interphase in situ hybridization (if appropriate)

 

"Eleven Additional FISH Probes"

88271/x11 DNA probe, each (if appropriate)

88275/x5 Interphase in situ hybridization (if appropriate)

 

"Twelve Additional FISH Probes"

88271/x12 DNA probe, each (if appropriate)

88275/x6 Interphase in situ hybridization (if appropriate)

Key