Spreadsheet: 9448c313-6406-4641-b639-9596f89822c3
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
60694 | Test | 60694 | FOXL2 Mutation (C402G) Analysis by PCR and Pyrosequencing | FOXL2 Mutation (C402G) Analysis | Polymerase Chain Reaction (PCR) and Pyrosequencing  (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  |  |  | A pathology/diagnostic report including a brief history is required.   [NAME] Type: Container/Tube: Surgical Pathology Packaging Kit (Supply T554) requested, but not required Preferred: Formalin-fixed, paraffin-embedded (FFPE) tissue block with a minimum of 40% tumor cell population Acceptable: Unstained slides with a minimum of 40% tumor population; slides may be stained and/or scraped Collection Instructions:  1. Process all fresh or frozen specimens into FFPE blocks prior to submission.  2. If submitting slides, a minimum of five, 4- to 5-micron thick, unstained slides are required. Additional Information: 1. A quality specimen is essential for evaluation. Submit only tissue containing tumor cells; minimal tissue is required for evaluation. 2. Special stains performed outside Mayo Medical Laboratories and included with the case may be repeated and charged at the reviewing pathologist's discretion. Testing requested by referring physician may not be performed if deemed unnecessary by Mayo Clinic pathologist. Forms: If not ordering electronically, submit a Pathology/Cytology Request Form (Supply T246) with the specimen. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	Decalcified specimens | Negative | Monday through Friday; 8 a.m.-5 p.m. | 4 days | 8 days | 1 | 81479 |  |  |  |  | Rochester
60694 | [NAME] | VARIES | Varies |  |  |  | Ambient
60694 | Result | 60694 | FOXL2 Mutation (C402G) Analysis | FOXL2 Mutation (C402G) Analysis | Alphanumeric
60694 | [NAME] | 60254 | Anatomic Pathology Special Studies Review | AP Special Studies Review |  | H & E Slide: HE |  |  |  |  | This is not an orderable test by anyone other than the Department of Anatomic Pathology. |  | Specimens other than	Paraffin blocks, unstained slides, or formalin fixed tissue Anticoagulants other than	NA Hemolysis	NA Thawing	NA Lipemia	NA Icteric	NA |  | Monday through Friday |  |  | 1 |  |  |  | Yes | No
60254 | [NAME] | VARIES | Varies |  |  |  | Ambient
60254 | Result | 20365 | Accession Number | Accession Number
60254 | Result | 20366 | Referring Pathologist/Physician | Referring Pathologist/Physician |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46608-6 | Primary referring physician ID:ID:Pt:Provider:Nom:
60254 | Result | 20367 | Ref Path/Phys Address | Ref Path/Phys Address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60254 | Result | 20368 | Place of Death: | Place of Death: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21987-3 | Geographic place of death:Type:Pt:^Patient:Nom:
60254 | Result | 20369 | Date and Time of Death: | Date and Time of Death: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31211-6 | Date of death:TmStp:Pt:^Patient:Qn:
60254 | Result | 20370 | Date of Autopsy: | Date of Autopsy: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60254 | Result | 20371 | Specimen: | Specimen: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
60254 | Result | 20372 | Material: | Material:
60254 | Result | 20373 | Tissue Description: | Tissue Description: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22634-0 | [NAME] observation:Find:Pt:[NAME]:Nar:
60254 | Result | 20374 | Microscopic Description: | Microscopic Description: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60254 | Result | 20375 | Clinical History: | Clinical History: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60254 | Result | 20376 | Final Diagnosis: | Final Diagnosis: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34574-4 | Path report.final diagnosis:Imp:Pt:[NAME]:Nom:
60254 | Result | 20377 | Final Diagnosis: | Final Diagnosis: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34574-4 | Path report.final diagnosis:Imp:Pt:[NAME]:Nom:
60254 | Result | 20378 | Comment: | Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
60254 | Result | 20379 | Revision Description: | Revision Description:
60254 | Result | 20380 | Signing Pathologist: | Signing Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:Pn:Pt:Provider:Nom:
60254 | Result | 20381 | Special Procedures: | Special Procedures:
60254 | Result | 20382 | SP Signing Pathologist: | SP Signing Pathologist:
60254 | Result | 20383 | *Previous Report Follows* | *Previous Report Follows*
60254 | Result | 20384 | [NAME]: | [NAME]: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8 | Path report.addendum:Find:Pt:[NAME]:Nar:
60254 | Result | 20385 | [NAME] Comment: | [NAME] Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
60254 | Result | 20386 | [NAME] Pathologist: | [NAME] Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:Pn:Pt:Provider:Nom:
60694 | [NAME] | 70011 | Slide Review | Slide Review |  |  |  |  |  |  | For billing purposes only. |  |  |  |  |  |  | 1 | 88381 |  |  | Yes | No
70011 | Result | 70011 | Slide Review | Slide Review | Alphanumeric