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FISH, Multiple Myeloma, IGH/MAFB, t(14;20)

Test Summary

The IGH-MAFB probe set is used to detect the t(14;20)(q32;q12) in patients with high-risk plasma cell myeloma (PCM).
This translocation is strongly associated with del(13q), hypodiploidy, and gain of 1q. However, patients with t(14;20) and monoclonal gammopathy, MGUS, or smoldering PCM, may have stable disease for years before progressing.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

3 mL bone marrow submitted in culture transport media

Minimum Volume

1 mL

Instructions

Specimen viability decreases during transit. Send specimen to testing lab for viability determination. Do not freeze. Do not reject.

Patient Preparation

N/A

Storage

N/A

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: See Collection Instructions
  • Refrigerated: See Collection Instructions
  • Frozen: See Collection Instructions

Limitations

N/A

Other Acceptable Specimens

Bone marrow collected in: Sodium heparin (green-top) tube, sodium heparin (royal blue-top) tube, or sodium heparin lead-free (tan-top) tube

Unacceptable Specimens

N/A

Order Code

IGHM

EPIC (Premier) Code

LAB5354

Includes

N/A

CPT Code

  • 88275
  • 88271 (x2) - **Please note: Test is restricted to bone marrow specimens for New York patient testing**

Billing Code

  • 670096
  • 670097

CPT Statement

Methodology

Fluorescence In Situ Hybridization (FISH)

FDA Status

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly VA, 20153

Department

Reference Testing

Reference Range

See Laboratory Report

Setup Schedule / Expected Turnaround Time

Daily; Report available: 6 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

3 mL bone marrow submitted in culture transport media

Minimum Volume

1 mL

Instructions

Specimen viability decreases during transit. Send specimen to testing lab for viability determination. Do not freeze. Do not reject.

Patient Preparation

N/A

Storage

N/A

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: See Collection Instructions
  • Refrigerated: See Collection Instructions
  • Frozen: See Collection Instructions

Limitations

N/A

Other Acceptable Specimens

Bone marrow collected in: Sodium heparin (green-top) tube, sodium heparin (royal blue-top) tube, or sodium heparin lead-free (tan-top) tube

Unacceptable Specimens

N/A

Billing

CPT Code

  • 88275
  • 88271 (x2) - **Please note: Test is restricted to bone marrow specimens for New York patient testing**

Billing Code

  • 670096
  • 670097

CPT Statement

Result Information

Methodology

Fluorescence In Situ Hybridization (FISH)

Testing Laboratory

N/A

Reference Range

See Laboratory Report

Setup Schedule / Expected Turnaround Time

Daily; Report available: 6 days