Spreadsheet: 77de914f-710b-4272-b317-122460b07e17
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
MLBRF | Test | MLBRF | MLH1 Hypermethylation and BRAF Mutation Analyses, Tumor | MLH1 Hypermethylation/BRAF Mutation | Polymerase Chain Reaction (PCR) Analysis (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Varies: Var |  |  |  | Varies | This test is only performed on colon tumors with confirmed loss of MLH1 protein expression.   Pathology report must accompany specimen in order for testing to be performed.   Specimen Type: Tissue block or slide Collection Instructions: 1. Submit formalin-fixed, paraffin-embedded tissue block (preferred) or 1 slide stained with hematoxylin and eosin and 10 unstained, nonbaked slides (5 micron-thick sections) of the tumor tissue. 2. Sections should contain both tumor and normal tissue. Forms: 1. [NAME] (Supply T519) in Special Instructions 2. If not ordering electronically, submit a Molecular Genetics Request Form (Supply T245) with the specimen. |  | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday; 8 a.m. | 14 days | Varies |  | Profile |  |  |  |  | Rochester
MLBRF | [NAME] | VARIES | Varies |  |  |  | Ambient
MLBRF | Billing Component | MLBRF |  | UNLISTED MOLECULAR PATHOLOGY |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 81479
MLBRF | Billing Component | MLBRF |  | BRAF GENE |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 81210
MLBRF | Component | MLHHM | MLH1 Hypermethylation | MLH1 Hypermethylation | Polymerase Chain Reaction (PCR) Analysis (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  |  | Varies | For billing purposes only, see test 87931 (MLHBRAF) |  |  | An interpretative report will be provided | Monday; 8 a.m. |  |  |  | Profile |  |  | Yes | Yes (order MLH1H)
MLHHM | [NAME] | VARIES | Varies |  |  |  | Ambient
MLHHM | Result | 26929 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
MLHHM | Result | 26930 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
MLHHM | Result | 26931 | Source | Source | Alphanumeric
MLHHM | Result | 26932 | Order Date | Order Date | Alphanumeric
MLHHM | Result | 26940 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8
MLHHM | Result | 26937 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
MLHHM | Result | 26938 | Consultant | Consultant | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
MLHHM | Result | 26939 | Report Date | Report Date | Alphanumeric
MLBRF | Component | BRAFP | BRAF Mutation | BRAF Mutation Analysis (V600E) | Polymerase Chain Reaction (PCR) Analysis (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  |  | Varies | For billing purposes only, see test 87931 (MLHBRAF). |  |  | An interpretative report will be provided | Monday; 8 a.m. | 14 days | Varies |  | Profile |  |  | Yes | Yes (order [NAME])
BRAFP | [NAME] | VARIES | Varies |  |  |  | Ambient
BRAFP | Result | 26917 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
BRAFP | Result | 26918 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
BRAFP | Result | 26919 | Source | Source | Alphanumeric
BRAFP | Result | 26920 | Order Date | Order Date | Alphanumeric
BRAFP | Result | 26928 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8
BRAFP | Result | 26925 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
BRAFP | Result | 26926 | Consultant | Consultant | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
BRAFP | Result | 26927 | Report Date | Report Date | Alphanumeric
MLBRF | Component | MBPIN | MLH1 Hypermethylation/BRAF (V600E) Mutation Interpretation | MLH1 Hyp/BRAF (V600E) Mut Interp | Polymerase Chain Reaction (PCR) Analysis (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  |  | Varies | For billing purposes only. |  |  |  | Monday; 8 a.m. |  |  |  | Profile |  |  | Yes | No
MBPIN | [NAME] | VARIES | Varies |  |  |  | Ambient
MBPIN | Result | 26933 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
MBPIN | Result | 26934 | [NAME] | [NAME] | Alphanumeric
MBPIN | Result | 26935 | Source | Source | Alphanumeric
MBPIN | Result | 26936 | Order Date | Order Date | Alphanumeric
MBPIN | Result | 26922 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1
MBPIN | Result | 26921 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
MBPIN | Result | 23450 | MLH1 Results | MLH1 Results | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 38536-9
MBPIN | Result | 23449 | BRAF Results | BRAF Results | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 53844-7
MBPIN | Result | 26924 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9
MBPIN | Result | 28013 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
MBPIN | Result | 28014 | Consultant | Consultant | Alphanumeric
MBPIN | Result | 28015 | Report Date | Report Date | Alphanumeric
MLBRF | [NAME] | SLRVW | Slide Review | Slide Review |  |  |  |  |  |  | For billing purposes only. |  |  |  |  |  |  | 1 | 88381 |  |  | Yes | No