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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
UGTK | Test | UGTK | UDP-Glucuronosyl Transferase 1A1 (UGT1A1) Gene, Known Mutation | UGT1A1 Gene, Known Mutation | Polymerase Chain Reaction (PCR) Followed by Site-Specific Gene Sequencing 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	NA Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday through Friday; Varies | 7 days | 14 days | 1 | 81403 |  |  |  |  | Rochester
UGTK | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
UGTK | Component | UGTKM | UDP-Glucuronosyl Transferase 1A1 (UGT1A1) Gene, Known Mutation | UGT1A1 Gene, Known Mutation | Full Gene Sequencing Only orderable as part of a profile. For further information see #89396 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1) Gene, Known Mutation" |  |  |  |  |  | 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 #89396 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1) [NAME], Known  Mutation" | 0.3 mL |  | Only orderable as part of a profile. For further information see  #89396 "UDP-Glucuronosyl Transferase 1A1 Gene, Known  Mutation" |  |  |  | 1 | 81403 |  |  | Yes | No
UGTKM | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
UGTKM | Result | 89396 | UGT1A1 Gene, Known Mutation | UGT1A1 Gene, Known Mutation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
UGTKM | Result | 30988 | UGT1A1 Gene, Known Mutation Interp | UGT1A1 Gene, Known Mutation Interp | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
UGTKM | Result | 30989 | Reviewed by | Reviewed by | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
UGTK | 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