Myeloid Malignancies Mutation and Copy Number Variation Panel by Next Generation Sequencing
Ordering Recommendation
Use to assess for somatic sequence variants, copy number variants (CNVs), and copy number-neutral loss of heterozygosity (CN-LOH) that may have prognostic and/or therapeutic significance in acute myeloid leukemia (AML), myelodysplastic syndromes (MDS), myeloproliferative neoplasms (MPN), MDS/MPN overlap disorders such as chronic myelomonocytic leukemia (CMML), or other myeloid and lymphoid neoplasms. Specification of the diagnosis under consideration is recommended. Because information on CNVs is necessary for myeloid neoplasm subclassification per the most updated guidelines, this test (3016621) is recommended for initial diagnostic workup and therapeutic monitoring. To test for sequence variants without CNVs and CN-LOH in limited clinical scenarios, order Myeloid Malignancies Mutation Panel by Next Generation Sequencing (2011117). If both tests are ordered for the same specimen, 2011117 will be canceled. To assess for inherited/germline variants, refer to Hereditary Myeloid Neoplasms Panel, Sequencing (3001842).
New York DOH Approval Status
Specimen Required
Lavender (EDTA), green (sodium heparin), bone marrow (EDTA), or bone marrow (sodium heparin).
Whole Blood or Bone Marrow: Transport 3 mL. (Min: 1.0 mL for bone marrow, 1.5 mL for whole blood)
Separate specimens must be submitted when multiple tests are ordered.
Whole Blood or Bone Marrow: Refrigerated.
Serum, plasma, grossly hemolyzed specimens, buccal brush or swab, FFPE tissue.
Specimen source is required.
Whole Blood or Bone Marrow: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
Methodology
Massively Parallel Sequencing
Performed
Varies
Reported
12-14 days
Reference Interval
By report
Interpretive Data
Refer to report.
Laboratory Developed Test (LDT)
Note
Genes tested: ANKRD26; ASXL1; ASXL2; BCOR; BCORL1; BRAF; CALR; CBL; CBLB; CEBPA; CSF3R; CUX1*; DDX41; DNMT1*; DNMT3A; ELANE; ETNK1; ETV6; EZH2; FBXW7; FLT3; GATA1; GATA2; GNAS; HNRNPK; IDH1; IDH2; IL7R; JAK1; JAK2; JAK3; KDM6A*; KIT; KMT2A; KRAS; LUC7L2; MPL; NOTCH1; NPM1*; NRAS; NSD1; PHF6; PIGA; PPM1D; PRPF40B; PRPF8; PTPN11; RAD21; RUNX1; SAMD9; SAMD9L; SETBP1; SF3B1; SH2B3; SMC1A; SMC3; SRSF2; STAG2; STAT3; STAT5B*; SUZ12*; TET2; TP53; U2AF1; U2AF2; UBA1; WT1; ZRSR2
*One or more exons are not covered by sequencing for the indicated gene; see Additional Technical Information.
Hotline History
Hotline History
CPT Codes
81455
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
3016622 | MYE CNV Proposed Diagnosis | 29548-5 |
3016623 | MYE CNV Specimen | 31208-2 |
3016624 | MYE CNV Interp | 101397-8 |
3016626 | EER Myeloid Mutation Panel NGS, DelDup | 11502-2 |
Aliases
- Acute myeloid leukemia, AML
- atypical chronic myeloid leukemia, aCML
- chronic eosinophilic leukemia not otherwise specified, CEL
- chronic myeloid leukemia, BCR-ABL1 positive, CML
- chronic myelomonocytic leukemia, CMML
- chronic neutrophilic leukemia, CNL
- Clonal hematopoiesis of indeterminate potential (CHIP)
- eosinophilia
- Idiopathic cytopenia of undetermined significance (CCUS)
- juvenile myelomonocytic leukemia, JMML
- mastocytosis
- myelodysplastic syndrome with isolated del(5q)
- myelodysplastic syndromes, MDS
- myelodysplastic/myeloproliferative neoplasm, MDS/MPN
- myeloid neoplasms secondary to therapy
- Myeloid Neoplasms with Germline Predisposition
- Myeloid/Lymphoid Neoplasms (M/LN) with Eosinophilia
- myeloproliferative neoplasm, essential thrombocythemia, MPN-ET
- myeloproliferative neoplasm, MPN
- myeloproliferative neoplasm, polycythemia vera, MPN-PV
- myeloproliferative neoplasm, primary myelofibrosis, MPN-PMF