Ordering Recommendation

Use for molecular confirmation of β thalassemia or a structural hemoglobinopathy involving the β-globin gene. To assess for HBB variants associated with hereditary persistence of fetal hemoglobin (HPFH), order Deletion/Duplication Analysis by MLPA (3003144). Inform the laboratory if patient has received gene therapy; test interpretation may be impacted in such cases. For example, certain gene therapies may impact the performance of this test and interpretation of this result; the presence or absence of variants, zygosity, and HBB gene copy number may not be determined in such cases. Inform the laboratory if patient has received gene therapy by submitting the patient history form linked below.

New York DOH Approval Status

Testing is not New York state approved. Specimens from New York clients will be sent out to a New York state-approved laboratory.

Specimen Required

Patient Preparation
Collect

Lavender or pink (EDTA) or yellow (ACD solution A or B).
New York State Clients: Lavender (EDTA)

Specimen Preparation

Transport 3 mL whole blood. (Min: 2 mL)
New York State Clients: Transport 7 mL whole blood (Min. 3 mL)

Storage/Transport Temperature

Refrigerated

Unacceptable Conditions

Serum or plasma; grossly hemolyzed or frozen specimens; saliva, buccal brush, or swab; FFPE tissue.

Remarks
Stability

Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: Unacceptable

Methodology

Massively Parallel Sequencing

Performed

Varies

Reported

10-15 days

Reference Interval

By report

Interpretive Data

Refer to report

Compliance Category

Laboratory Developed Test (LDT)

Note

HBB (NM_000518)
Deletion/duplication analysis is not available for this gene.

Hotline History

N/A

CPT Codes

81364

Components

Component Test Code* Component Chart Name LOINC
3004548 BG Specimen 66746-9
3004549 BG Interp 21689-5
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

  • B thalassemia
  • B-thalassemia
  • beta thalassemia
  • Cooley's anemia
  • Hb C
  • Hb E
  • Hb S
  • hemoglobin C
  • hemoglobin E
  • hemoglobin S
  • sickle beta thalassemia
  • sickle cell anemia
  • sickle cell disease
Beta Globin (HBB) Sequencing