Inactivated/Replace Test

Effective Date

10/20/2025

Inactivated Test Details

Mnemonic

MLH1

Ordering Code

3624180

CPT-4 Codes(s)

81288

Replacement Test Details

Mnemonic

MLH1P

Ordering Code

3600543

CPT-4 Codes(s)

81288

Turnaround Time
9 - 14 days
Performed
Varies
Legacy Code
MLH1P
Example Report

Specimen Information

Collect

Tumor tissue

Specimen Preparation

Send formalin fixed paraffin embedded tissue block or 5 unstained 5
micron slides in a tissue transport kit. Include surgical pathology report.

If multiple specimens (blocks or slides) are sent to ARUP, they must be accompanied by one of
the following: an order comment indicating that the ARUP pathologist should choose the
specimen most appropriate for testing, or individual orders for each sample submitted. A
Pathologist Block Selection Fee will be added to orders that utilize the first option. If multiple
specimens are sent to ARUP without a request for pathologist block/slide selection or individual
orders, they will be held until clarification is provided.

Minimum Volume

5 slides (if using)

Transport Temperature

Room temperature

Rejection Criteria

Fixative other than 10 percent neutral buffered formalin, bone specimens submitted in non-EDTA decalifier, less than 25 percent tumor.

Stability

Room temperature: Indefinite
Refrigerated: Indefinite
Frozen: Unacceptable

Methodology

Real-Time Polymerase Chain Reaction/Fluorescence Resonance Energy Transfer
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Reference Range

See report
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Performing Laboratory

ARUP Reference Laboratory
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New York DOH Approval Status

Yes
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