Pharmacogenetics Panel: Psychotropics
Ordering Recommendation
Use to assess genetic risk of abnormal drug metabolism for drugs metabolized by ANKK1, COMT, CYP2B6, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, DRD2, GRIK4, HTR2A, HTR2C, MTHFR, OPRM1, and UGT2B15. May aid in drug selection and dose planning for many drugs. For testing that includes access to the GeneDose database, refer to to Pharmacogenetics Panel: Psychotropics, with GeneDose Access (3006366).
New York DOH Approval Status
Specimen Required
Whole Blood: Lavender (EDTA), pink (K2EDTA), or yellow (ACD solution A or B).
Transport 3 mL whole blood. (Min: 1 mL)
Refrigerated.
Plasma or serum. Specimens collected in sodium heparin or lithium heparin. Frozen specimens in glass collection tubes.
Ambient: 72 hours; Refrigerated: 1 week; Frozen: 1 month
Methodology
Polymerase Chain Reaction (PCR)/Fluorescence Monitoring/Sequencing
Performed
Varies
Reported
5-10 days
If reflexed: 5-7 additional days are required for LR-PCR and sequencing.
Reference Interval
By report
Interpretive Data
Refer to report
Counseling and informed consent are recommended for genetic testing. Consent forms are available online.
Laboratory Developed Test (LDT)
Note
Whole blood is the preferred specimen type. Saliva samples that yield inadequate DNA quality and/or quantity will be reported as inconclusive if test performance does not meet laboratory-determined criteria for reporting. Saliva is only validated for the OpenArray and CNV portions of testing and not the long-range PCR/duplication testing. Long-range PCR/duplication testing will not be performed for saliva samples.
If long-range PCR/duplication testing is performed, additional charges apply. Approximately less than 5% of samples require 2D6 copy number determination.
Hotline History
Hotline History
CPT Codes
81225; 81226; 81227; 81230; 81231; 81291; 81479; if reflexed, add 81479
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
2008769 | OPRM1 Genotype, Interpretation | 94415-7 |
2008926 | CYP2D6 Phenotype | 79715-9 |
2008931 | CYP2C9 Phenotype | 79716-7 |
2008936 | CYP2C19 Phenotype | 79714-2 |
3001504 | CYP2C9 Genotype | 46724-1 |
3001510 | CYP2C19 Genotype | 57132-3 |
3001515 | CYP2D6 Genotype | 40425-1 |
3001520 | CYP3A4 Genotype | 81139-8 |
3001521 | CYP3A5 Genotype | 81140-6 |
3004493 | CYP2B6 Genotype | 72882-4 |
3004494 | CYP2B6 Phenotype | 79720-9 |
3004504 | CYP3A4 Phenotype | 81145-5 |
3004505 | CYP3A5 Phenotype | 79717-5 |
3005486 | PGX PSYCH Specimen | 66746-9 |
3005487 | UGT2B15_1902023 | 94418-1 |
3005489 | ANKK1 rs1800497 | 94402-5 |
3005491 | COMT rs4680 | 74511-7 |
3005493 | DRD2 rs1799978 | 94411-6 |
3005495 | GRIK4 rs1954787 | 94413-2 |
3005497 | HTR2A rs6311 | 75726-0 |
3005498 | HTR2A rs7997012 | 93190-7 |
3005500 | HTR2C rs3813929 | 75732-8 |
3005502 | MTHFR rs1801133 | 28005-7 |
3005503 | MTHFR rs1801131 | 28060-2 |
3005505 | OPRM1 Phenotype, Interpretation | 81259-4 |
3005506 | PGX PSYCH Interpretation | 50398-7 |
3016892 | EER PGX Panel: Psych | 11526-1 |
Aliases
- ANKK1
- COMT
- CYP2B6
- CYP2C19
- CYP2C9
- CYP2D6
- CYP3A4
- CYP3A5
- Cytochrome P450
- DRD2
- GRIK4
- HTR2A
- HTR2C
- MTHFR
- OPRM1
- Pharmacogenetics
- Pharmacogenomics
- UGT2B15