UGT1A1 Genotyping

Test Details

Mnemonic

UGT1G

Ordering Code

3620140

CPT-4 Code(s)

81350

Specimen Information

Collect

Lavender EDTA

Specimen Preparation

Send 3.0 mL whole blood.

Alternate Specimen

Yellow ACD A

Minimum Volume

1.0 mL

Transport Temperature

Refrigerated

Rejection Criteria

Frozen specimens

Stability

Room temperature: 72 hours
Refrigerated: 7 days
Frozen: Unacceptable

Methodology

Polymerase Chain Reaction/Fragment analysis

Reference Range

See report

Performing Laboratory

ARUP REFERENCE LAB

New York DOH Approval Status

Yes

Turnaround Time

4 - 9 days

Performed

Varies

Z Code(s)

ZB2P8

Legacy Code

UGT1A1GA

Example Report

Download

Interface Map for UGT1G

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt
UGT1A1 Genotyping	3620140
		3620150	UGT1A1 Genotyping Specimen	31208-2	Yes
		3620160	UGT1A1 Genotyping Allele 1	51951-2	No
		3620170	UGT1A1 Genotyping Allele 2	51952-0	No
		3620180	UGT1A1 Genotyping Interp	50398-7	No

The CPT codes provided are for general informational purposes only and are based on an interpretation of AMA guidance. It is the sole responsibility of the billing party to determine CPT codes. Any questions regarding coding should be directed to the paying party.

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