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Labcorp Oklahoma, Inc.
Test Directory


Index:

IGVH Mutation Analysis by Sequencing

Order Name IGVH MUT
Test Number: 6905049
Revision Date 12/12/2022
Test Name Methodology LOINC Code
IGVH Mutation Analysis by Sequencing
Polymerase Chain Reaction 48670-4 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 4 mL (0.5 mL) Whole Blood
Alternate 1 5 mL (0.5 mL)
Instructions Specimen Type: Peripheral blood or Bone Marrow; Lavender-top (EDTA) tube
Specimen Storage: Maintain specimen at room temperature; STABLE for three to five days.
Specimen Collection: Not Available
Special Instructions: Testing referred to Accupath Diagnostic Laboratories ACCAZ#7327
Specimen Stability: Ambient: Not Available, Refrigerated : Not Available, Frozen: Not Available
GENERAL INFORMATION
Expected TAT 6 - 8 days  
Clinical Use IgVH Somatic Hypermutation
Determines the mutation status of IgVH gene in B lymphocytes, including those of CLL (chronic lymphocytic leukemia). The IgVH gene mutation status is one of the discriminators of clinical outcome in patients with CLL. The mutational status of the immunoglobulin genes expressed by CLL cells can be used to segregate patients into two subsets that have significantly different tendencies for disease progression. Patients with leukemic cells that express unmutated immunoglobulin heavy-chain variable region genes have a greater tendency for disease progression than those who have leukemic cells that express IgVH genes with less than 98% nucleic acid homology with their germ-line counterparts. 
Performing Labcorp Test Code 113753 
Notes Labcorp Test Code: 113753
CPT Code(s) 81263
Lab Section Reference Lab