Familial Mediterranean Fever Mutation Analysis
MEFV, FMF, SAA1
Test Codes
Order Miscellaneous Send Out. Prevention Code: 7739
Department
Send Outs
Instructions
This test is not included in the Beaumont Laboratory testing formulary, however, the Laboratory can facilitate specimen collection.
- Testing requires the ordering physician to complete forms for the independent clinical laboratory performing the testing. For the forms, please go to: https://www.preventiongenetics.com/forms and download the “Standard Test Requisition Form.”
- This test will be billed to the patient's insurance. If not covered by insurance, the patient is responsible for the full cost of testing.
- Specimens received without the appropriate forms and information will not be shipped.
- Order test as a Miscellaneous Send Out (XMISC).
Specimen Collection Criteria
Collect: Two Lavender-top EDTA tubes, after obtaining necessary pathology approval. (Minimum Whole Blood: 3.0 mL adult, 1.0 mL infants)
Physician Office/Draw Specimen Preparation
Do not centrifuge. Maintain whole blood at room temperature (20-26°C or 68-78.8°F) prior to transport. Pathology review and all appropriate forms must be completed prior to specimen transport.
Preparation for Courier Transport
Transport: 8 mL whole blood with all appropriate forms and information, at room temperature (20-26°C or 68-78.8°F). (Minimum: 3.0 mL adult, 1.0 mL infants)
Rejection Criteria
- Specimens received without prior Laboratory notification and review.
- Frozen specimens.
- Specimens not collected and processed as indicated.
In-Lab Processing
Do not centrifuge. Maintain whole blood at room temperature (20-26°C or 68-78.8°F) prior to transport.
Transport: 8 mL whole blood with all appropriate forms and information, at room temperature (20-26°C or 68-78.8°F). (Minimum: 3.0 mL adult, 1.0 mL infants)
Storage
Specimen Stability for Testing:
Room Temperature (20-26°C or 68-78.8°F): 48 hours
Refrigerated (2-8°C or 36-46°F): 7 days
Frozen (-20°C/-4°F or below): Unacceptable
Specimen Storage in Department Prior to Disposal:
Specimen retention time is determined by the policy of the reference laboratory. Contact the Send Outs Laboratory with any questions.
Laboratory
Sent to Prevention Genetics, Marshfield, WI.
Performed
Varies.
Results available in 2-3 weeks.
Reference Range
By Report.
Test Methodology
Polymerase Chain Reaction (PCR).
CPT Codes
81404, 81479.
Contacts
Send Outs Laboratory – RO
248-551-9045
Name: Send Outs Laboratory – RO
Location:
Phone: 248-551-9045
Last Updated
12/14/2023
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