Spreadsheet: 59f85661-aa85-407f-8927-d2f2721a1473
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
UGT2 | Test | UGT2 | UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Hyperbilirubinemia | UGT1A1 Sequence, Hyperbilirubinemia | Polymerase Chain Reaction (PCR) Followed by DNA Sequence Analysis  (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  | 3 | mL | Multiple whole blood EDTA genotype tests can be performed on a single specimen after a single extraction. See Multiple Whole Blood EDTA Genotype Tests in Special Instructions for a list of tests that can be ordered together.  Container/Tube:  Adults: Lavender top (EDTA) Pediatrics: Purple microtube [NAME]  Adults: 3 mL Pediatrics: 1 mL Collection Instructions:  1. Send specimen in original tube.  2. If submitting microtube, place inside a larger tube or vial for transport. Additional Information: 1. Bone marrow and liver transplants will interfere with testing. Call Mayo Medical Laboratories at [PHONE] or [PHONE] for instructions. 2. Transfusions will interfere with testing for up to 4 to 6 weeks. DNA obtained from white cells may not provide useful information for patients who received a recent transfusion of blood that was not leukocyte-reduced. Wait 4 to 6 weeks until transfused cells have left the patient's circulation before drawing the patient's blood specimen for genotype testing. Forms:  1. UGT1A1 Gene Testing for Hyperbilirubinemia Patient Information Sheet (Supply T664) in Special Instructions 2. New York Clients-Informed consent is required. Please document on the request form or electronic order that a copy is on file. An Informed Consent for Genetic Testing (Supply T576) is available in Special Instructions. | 0.3 mL | Hemolysis	NA Thawing	Warm reject; Gross reject Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday through Friday; Varies | 7 days | 14 days | 1 | 81350 |  |  |  |  | Rochester
UGT2 | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
UGT2 | Component | UGTH | UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Hyperbilirubinemia | UGT1A1 Sequence, Hyperbilirubinemia | Full Gene Sequencing Only orderable as part of a profile. For further information see #89611 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Hyperbilirubinemia" |  |  |  |  |  | Draw blood in a lavender-top (EDTA) tube(s), and send 3 mL of EDTA whole blood in original VACUTAINER(S). Note:	1.	Bone marrow and liver transplants will interfere with 		testing.  		 		For bone marrow transplant patients, buccal cells from 		the recipient should be provided to obtain an accurate  		genotype.   		For liver transplant patients, donor blood or buccal 		cells should be provided to obtain an accurate genotype 		for the recipient patient.  2.	Transfusions will interfere with testing for up to 4 to 	6 weeks. DNA obtained from white cells may not provide 	useful information for patients who received a recent 	transfusion of blood that was not leukocyte-reduced. 	Wait 4 to 6 weeks until transfused cells have left the 	patient's circulation before drawing the patient's blood 	specimen for genotype testing. 3.  An "Informed Consent for DNA Testing" (Supply T576) 		is available. See Special Instructions for a copy of the 		form. Only orderable as part of a profile. For further information see #89611 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Hyperbilirubinemia" | 0.3 mL |  | Only orderable as part of a profile. For further information see  "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Hyperbilirubinemia" |  |  |  | 1 | 81350 |  |  | Yes | No
UGTH | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
UGTH | Result | 89611 | UGT1A1 Hyperbilirubinemia Result | UGT1A1 Hyperbilirubinemia Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34509-0 | UGT1A1 gene mutation analysis:Prid:Pt:Bld/Tiss:Nar:Molgen
UGTH | Result | 30985 | UGT1A1 Hyperbilirubinemia Interp | UGT1A1 Hyperbilirubinemia Interp | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
UGTH | Result | 30986 | Reviewed by | Reviewed by | Numeric
UGT2 | Component | UGTSQ | UGT, [NAME] | UGT, [NAME] | Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity" |  |  |  |  |  | Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity." |  |  | Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity". |  |  |  | 1 | 81350 |  |  | Yes | No
UGTSQ | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
UGTSQ | Result | UGTSQ | UGT, [NAME] | UGT, [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process