Spreadsheet: 4c5676aa-448d-4f93-b5a6-7594bdf5bd17
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
MLH12 | Test | MLH12 | MLH1/MSH2 Mutation Screen | MLH1/MSH2 Mutation Screen | Polymerase Chain Reaction (PCR) Followed by DNA Sequence Analysis and Gene Dosage Analysis by [NAME] (MLPA) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | EDTA (lavender-top) tube: EDTA Yellow-Top (ACD) Tube: ACD |  |  | 3 | mL | [NAME] must arrive within 96 hours of draw.   [NAME] blood Container/Tube: Preferred: Lavender top (EDTA) or yellow top (ACD) Acceptable: Any anticoagulant  [NAME]: 3 mL  Collection Instructions:	 1. Invert several times to mix blood. 2. Send specimen in original tube. Forms: 1. [NAME] (Supply T519) 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. 3. If not ordering electronically, submit a Molecular Genetics Request Form (Supply T245) with the specimen. | 1 mL | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Friday; 10 a.m. | 14 days | 20 days |  | Profile |  |  |  |  | Rochester
MLH12 | [NAME] | VARIES | Varies |  |  |  | Ambient
MLH12 | Result | 22804 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
MLH12 | Result | 22806 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 32630-6 | MSH2 gene+MLH1 gene mutation analysis:Prid:Pt:Bld/Tiss:Nom:Molgen
MLH12 | Result | 22807 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Service comment 01:Imp:Pt:[NAME]:Nom:
MLH12 | Result | 22805 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
MLH12 | Result | 22808 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 32630-6 | MSH2 gene+MLH1 gene mutation analysis:Prid:Pt:Bld/Tiss:Nom:Molgen
MLH12 | Result | 22800 | [NAME] | [NAME] | Alphanumeric
MLH12 | Result | 22802 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
MLH12 | Result | 22809 | Reviewed By: | Reviewed By: | Alphanumeric
MLH12 | Result | 22810 | Release Date | Release Date | Alphanumeric
MLH12 | Billing Component | MLH12 |  | MSH2 GENE DUP/DELETE VARIANT |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 81297
MLH12 | Billing Component | MLH12 |  | MLH1 GENE DUP/DELETE VARIANT |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 81294
MLH12 | Billing Component | MLH12 |  | MSH2 GENE FULL SEQ |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 81295
MLH12 | Billing Component | MLH12 |  | MLH1 GENE FULL SEQ |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 81292