Spreadsheet: 326cdca2-72e0-44e9-a984-6f062891de47
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
UGTKO | Test | UGTKO | UDP-Glucuronosyl Transferase 1A1 (UGT1A1) Gene, Known Mutation, Saliva | UGT1A1 Gene, Known Mutation, Saliva | Polymerase Chain Reaction (PCR) Followed by Site-Specific Gene Sequencing Analysis  (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  | 4 | mL | Multiple saliva genotype tests can be performed on a single specimen after a single extraction. See Multiple Saliva Genotype Tests in Special Instructions for a list of tests that can be ordered together.  Container/Tube: [NAME] DNA Self-Collection Kit (Supply T651)  [NAME]: Full tube Collection Instructions: 1. Fill tube to line. 2. Send specimen in original container per kit instructions. Additional Information: Liver transplants will interfere with testing. Call Mayo Medical Laboratories at [PHONE] or [PHONE] for instructions. Forms:  1. UGT1A1 Gene Testing for Hyperbilirubinemia Patient Information Sheet (Supply T664) is required 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. | 1 mL | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday through Friday; Varies | 7 days | 14 days | 1 | 81403 |  |  |  |  | Rochester
UGTKO | [NAME] | SALIVA | Saliva |  |  |  | Ambient
UGTKO | Component | UGKMO | UDP-Glucuronosyl Transferase 1A1 (UGT1A1) Gene, Known Mutation | UGT1A1 Gene, Known Mutation | Only orderable as part of a profile. For further information see UGTKO/60351 UDP-Glucuronosyl Transferase 1A1 (UGT1A1) Gene, Known Mutation, [NAME]. |  |  |  |  |  | Only orderable as part of a profile. For further information see UGTKO/60351 UDP-Glucuronosyl Transferase 1A1 (UGT1A1) Gene, Known Mutation, [NAME]. |  |  | Only orderable as part of a profile. For further information see UGTKO/60351 UDP-Glucuronosyl Transferase 1A1 (UGT1A1) Gene, Known Mutation, [NAME]. |  |  |  | 1 | 81403 |  |  | Yes | No
UGKMO | [NAME] | SALIVA | Saliva |  |  |  | Ambient
UGKMO | Result | 33031 | UGT1A1 Gene, Known Mutation | UGT1A1 Gene, Known Mutation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
UGKMO | Result | 33032 | Reviewed by | Reviewed by | Numeric
UGKMO | Result | 33033 | UGT1A1 Gene, Known Mutation Interp | UGT1A1 Gene, Known Mutation Interp | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
UGTKO | Component | UGTKQ | UGT1A1 Known Mutation Sequencing | UGT1A1 Known Mutation Sequencing | Only orderable as part of a profile. For further information see #89396 "UDP-Glucuronosyl Transferase 1A1 Gene, Known Mutation" |  |  |  |  |  | Only orderable as part of a profile. For further information see  #89396 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1) [NAME],  Known Mutation" |  |  | Only orderable as part of a profile. For further information see  #89396 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1) [NAME],  Known Mutation" |  |  |  | 2 |  |  |  | Yes | No
UGTKQ | [NAME] | VARIES | Varies |  |  |  | Ambient
UGTKQ | Result | UGTKQ | UGT1A1 Known Mutation Sequencing | UGT1A1 Known Mutation Sequencing | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process