Cystic Fibrosis (CF) Full-gene Carrier Screen

CPT: 81220
To be determined. Updates will be made when available.
81220
Updated on 08/22/2023
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Synonyms

  • CF carrier testing
  • CF full gene sequencing
  • CF testing

Test Includes

This test includes the following gene: CFTR.


Special Instructions

To test fetal specimens, including cord blood, order GeneSeq PLUS, Fetal Analysis [482389].


Expected Turnaround Time

14 - 21 days (In some cases, additional time may be required for confirmatory or reflex tests.)


Specimen Requirements


Specimen

Whole blood or PurFlock buccal swab kit or Oragene Dx 500 saliva kit


Volume

4 mL whole blood or PurFlock buccal swab kit or Oragene Dx saliva kit


Minimum Volume

3 mL whole blood or PurFlock buccal swab kit or Oragene Dx saliva kit


Container

Yellow-top (ACD-A) or lavender-top (EDTA) or pink-top (EDTA) or tan-top (EDTA) tubes or PurFlock buccal swab kit or Oragene Dx 500 saliva collection kit


Collection

Standard phlebotomy; follow PurFlock buccal swab kit or Oragene Dx 500 saliva kit collection instructions. Do not eat, drink, smoke, or chew gum 30 minutes prior to collection.


Storage Instructions

Maintain specimen at room temperature or refrigerate at 4°C. Do not freeze.


Stability Requirements

Whole blood: 14 days at room temperature or 30 days at 4°C

Buccal: 60 days at room temperature

Saliva: 60 days at room temperature


Causes for Rejection

Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container


Test Details


Use

This test is used for carrier screening for cystic fibrosis by full gene sequencing and deletion/duplication analysis. Variants of uncertain significance are not included.


Limitations

Technologies used do not detect germline mosaicism and do not rule out the presence of large chromosomal aberrations including rearrangements and gene fusions, or variants in regions or genes not included in this test, or possible inter/intragenic interactions between variants or repeat expansions.

Variant classification and/or interpretation may change over time if more information becomes available. False positive or false negative results may occur for reasons that include: rare genetic variants, sex chromosome abnormalities, pseudogene interference, blood transfusions, bone marrow transplantation, somatic or tissue-specific mosaicism, mislabeled samples or erroneous representation of family relationships.

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.


Methodology

Next-generation sequencing: Identifies genetic variants, including small nucleotide variants (SNVs), insertions, deletions and copy number variants (CNVs).


References

Deignan JL, Astbury C, Cutting GR, et al. CFTR variant testing: a technical standard of the American College of Medical Genetics and Genomics (ACMG). Genet Med. 2020 Aug;22(8):1288-1295.32404922
Savant A, Lyman B, Bojanowski C, et al. Cystic Fibrosis. In: GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993.2001 Mar 26 [updated 2023 Mar 9].20301428

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
482632 CF Full-gene Carrier Screen 482617 Ethnicity Pending
482632 CF Full-gene Carrier Screen 482618 Specimen Type Pending
482632 CF Full-gene Carrier Screen 482619 Genetic Counselor Pending
482632 CF Full-gene Carrier Screen 482620 Indication Pending
482632 CF Full-gene Carrier Screen 482621 Result: Pending
482632 CF Full-gene Carrier Screen 482622 Interpretation Pending
482632 CF Full-gene Carrier Screen 482623 General Comments Pending
482632 CF Full-gene Carrier Screen 482624 Recommendations Pending
482632 CF Full-gene Carrier Screen 482625 Additional ClinicalInformation Pending
482632 CF Full-gene Carrier Screen 482626 Comments Pending
482632 CF Full-gene Carrier Screen 482627 Methods/Limitations Pending
482632 CF Full-gene Carrier Screen 482628 References Pending
482632 CF Full-gene Carrier Screen 482629 Director Review/Release Pending
482632 CF Full-gene Carrier Screen 482630 PDF Pending

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