Cystic Fibrosis (CF) Full-gene Carrier Screen

CPT: 81220
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Synonyms

  • CF carrier testing
  • CF full gene sequencing
  • CF testing

Test Includes

This test includes the following gene: CFTR.


Special Instructions

To test fetal specimens, including cord blood, order GeneSeq PLUS, Fetal Analysis [482389].


Expected Turnaround Time

14 - 21 days (In some cases, additional time may be required for confirmatory or reflex tests.)


Specimen Requirements


Specimen

Whole blood or PurFlock buccal swab kit or Oragene Dx 500 saliva kit


Volume

4 mL whole blood or PurFlock buccal swab kit or Oragene Dx saliva kit


Minimum Volume

3 mL whole blood or PurFlock buccal swab kit or Oragene Dx saliva kit


Container

Yellow-top (ACD-A) or lavender-top (EDTA) or pink-top (EDTA) or tan-top (EDTA) tubes or PurFlock buccal swab kit or Oragene Dx 500 saliva collection kit


Collection

Standard phlebotomy; follow PurFlock buccal swab kit or Oragene Dx 500 saliva kit collection instructions. Do not eat, drink, smoke, or chew gum 30 minutes prior to collection.


Storage Instructions

Maintain specimen at room temperature or refrigerate at 4°C. Do not freeze.


Stability Requirements

Whole blood: 14 days at room temperature or 30 days at 4°C

Buccal: 60 days at room temperature

Saliva: 60 days at room temperature


Causes for Rejection

Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container


Test Details


Use

This test is used for carrier screening for cystic fibrosis by full gene sequencing and deletion/duplication analysis. Variants of uncertain significance are not included.


Limitations

Technologies used do not detect germline mosaicism and do not rule out the presence of large chromosomal aberrations including rearrangements and gene fusions, or variants in regions or genes not included in this test, or possible inter/intragenic interactions between variants or repeat expansions.

Variant classification and/or interpretation may change over time if more information becomes available. False positive or false negative results may occur for reasons that include: rare genetic variants, sex chromosome abnormalities, pseudogene interference, blood transfusions, bone marrow transplantation, somatic or tissue-specific mosaicism, mislabeled samples or erroneous representation of family relationships.

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.


Methodology

Next-generation sequencing: Identifies genetic variants, including small nucleotide variants (SNVs), insertions, deletions and copy number variants (CNVs).


References

Deignan JL, Astbury C, Cutting GR, et al. CFTR variant testing: a technical standard of the American College of Medical Genetics and Genomics (ACMG). Genet Med. 2020 Aug;22(8):1288-1295.32404922
Savant A, Lyman B, Bojanowski C, et al. Cystic Fibrosis. In: GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993.2001 Mar 26 [updated 2023 Mar 9].20301428

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
482632 CF Full-gene Carrier Screen 90256-9 482617 Ethnicity 42784-9
482632 CF Full-gene Carrier Screen 90256-9 482618 Specimen Type 31208-2
482632 CF Full-gene Carrier Screen 90256-9 482619 Genetic Counselor 89993-0
482632 CF Full-gene Carrier Screen 90256-9 482620 Indication 42349-1
482632 CF Full-gene Carrier Screen 90256-9 482621 Result: 90256-9
482632 CF Full-gene Carrier Screen 90256-9 482622 Interpretation 53039-4
482632 CF Full-gene Carrier Screen 90256-9 482623 General Comments 8262-8
482632 CF Full-gene Carrier Screen 90256-9 482624 Recommendations 62385-0
482632 CF Full-gene Carrier Screen 90256-9 482625 Additional ClinicalInformation 55752-0
482632 CF Full-gene Carrier Screen 90256-9 482626 Comments 8251-1
482632 CF Full-gene Carrier Screen 90256-9 482627 Methods/Limitations 49549-9
482632 CF Full-gene Carrier Screen 90256-9 482628 References 75608-0
482632 CF Full-gene Carrier Screen 90256-9 482629 Director Review/Release 72486-4
482632 CF Full-gene Carrier Screen 90256-9 482630 PDF 51969-4

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