Outpatient Submit with Specimen

Collect

Specimen Type Type of Container Volume of Specimen Status
Whole blood 4 mL Purple tube (EDTA) 4 mL-8 mL Preferred
Whole blood 3 mL Purple tube (EDTA) Infant: 1 mL-3 mL Preferred

Container Image

Outpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze

Unacceptable Conditions

Clotted specimen, Wrong collection tube, Frozen specimen, Centrifuged specimen

Stability

Whole blood: Room temperature 24 hour(s)
Whole blood: Refrigerated 72 hour(s)

Remarks

If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.

If both members of the couple have been determined to be CF carriers, prenatal testing can be performed on an amniotic fluid sample as targeted familial variant analysis (see test code: FMLIS) or a send-out test. Diagnostic testing can be performed upon request when appropriate (such as confirmation of mutations identified on newborn screening).Please contact the Institute for Genomic Medicine Lab (614) 722-5321 for more information.

Clinical Information

Cystic fibrosis (CF) is an autosomal recessive disorder caused by the presence of pathogenic, loss-of-function genetic mutation (also known as genetic variant) in both alleles of the CFTR gene. Classic CF is characterized by chronic lung disease, gastrointestinal malabsorption, pancreatic insufficiency, and obstructive azoospermia in males. Non-classic CF (previously known as atypical CF) is characterized by milder symptoms with findings often limited to single organ system, such as recurrent pancreatitis, recurrent sinusitis, bilateral absence of vas deferens, nasal polyposis, or bronchiectasis.

Mutations Tested: deltaF508 (c.1521_1523delCTT), deltaI507 (c.1519_1521delATC), G542X (c.1624G>T), G85E (c.254G>A), R117H (c.350G>A), 621+1G>T (c.489+1G>T), 711+1G>T (c.579+1G>T), R334W (c.1000C>T), R347P (c.1040G>C), A455E (c.1364C>A), 1717-1G>A (c.1585-1G>A), R560T (c.1679G>C), R553X (c.1657C>T), G551D (c.1652G>A), 1898+1G>A (c.1766+1G>A), 2184delA (c.2052delA), 2789+5G>A (c.2657+5G>A), 3120+1G>A (c.2988+1G>A), R1162X (c.3484C>T), 3659delC (c.3528delC), 3849+10kbC>T (c.3717+12191C>T), W1282X (c.3846G>A), N1303K (c.3909C>G), 1078delT (c.948delT), 394delTT (c.262_263delTT), Y122X (c.366T>A), R347H (c.1040G>A), V520F (c.1558G>T), A559T (c.1675G>A), S549N (c.1646G>A), S549R (c.1647T>G), 1898+5G>T (c.1766+5G>T), 2183AA>G (c.2051_2052delAAinsG), 2307insA (c.2175_2176insA), Y1092X (c.3276C>A and c.3276C>G), M1101K (c.3302T>A), S1255X (c.3607A>G and C.3764C>A), 3876delA (c.3744delA), 3905insT (c.3773_3774insT), CFTR del e2,3 (c.54-5940_273+10250del21kb), W1089X (c.3266G>A), 1677delTA (c.1545_1546delTA), D1152H (c.3454G>C), R1158X (c.6472C>T), G178R (c.532G>A), 3791delC (c.3659delC), L206W (c.617T>G), E60X (c.178G>T), R75X (c.223C>T), Q493X (c.1477C>T), 2055del9>A (c.1923_1931del9insA), S1196X (c.3587C>G), 935delA (c.803delA), 2143delT (c.2012delT), K710X (c.2128A>T), G330X (c.988G>T), Q890X (c.2668C>T), R1066C (c.3196C>T), 3199del6 (c.3067_3072delATAGTG), 406-1G>A (c.274-1G>A).

The above mutations are listed according to the legacy nomenclature; the standard nomenclature is listed in parentheses. For specimens positive for R117H, the IVS8 poly-T tract status (5T/7T/9T) will also be reported. Poly-T tract status will be also reported if the provided study indication includes male infertility or atypical CF.

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

7 days diagnostic testing; 14 days carrier testing

Lab Area

Institute for Genomic Medicine

Methodology

Polymerase chain reaction (PCR)

CPT Codes

81220

Synonyms

  • Cystic fibrosis carrier screen, CF carrier screen, CF mutation screen, CF screen, CF testing, CFTR, CF test, CF gene test, CF mutation panel, Common CF mutation panel, CF common variant panel, IGM Test

Collect

Specimen Type Type of Container Volume of Specimen Status
Whole blood 4 mL Purple tube (EDTA) 4 mL-8 mL Preferred
Whole blood 3 mL Purple tube (EDTA) Infant: 1 mL-3 mL Preferred

Minimum Volume

Specimen Type Type of Container Minimum Volume
Whole blood 4 mL Purple tube (EDTA) 3 mL
Whole blood 3 mL Purple tube (EDTA) Infant: 1mL
     

Container Image

Inpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze

Unacceptable Conditions

Clotted specimen, Wrong collection tube, Frozen specimen, Centrifuged specimen

Stability

Whole blood: Room temperature 24 hour(s)
Whole blood: Refrigerated 72 hour(s)

Remarks

If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.

If both members of the couple have been determined to be CF carriers, prenatal testing can be performed on an amniotic fluid sample as targeted familial variant analysis (see test code: FMLIS) or a send-out test. Diagnostic testing can be performed upon request when appropriate (such as confirmation of mutations identified on newborn screening).Please contact the Institute for Genomic Medicine Lab (614) 722-5321 for more information.

Clinical Information

Cystic fibrosis (CF) is an autosomal recessive disorder caused by the presence of pathogenic, loss-of-function genetic mutation (also known as genetic variant) in both alleles of the CFTR gene. Classic CF is characterized by chronic lung disease, gastrointestinal malabsorption, pancreatic insufficiency, and obstructive azoospermia in males. Non-classic CF (previously known as atypical CF) is characterized by milder symptoms with findings often limited to single organ system, such as recurrent pancreatitis, recurrent sinusitis, bilateral absence of vas deferens, nasal polyposis, or bronchiectasis.

Mutations Tested: deltaF508 (c.1521_1523delCTT), deltaI507 (c.1519_1521delATC), G542X (c.1624G>T), G85E (c.254G>A), R117H (c.350G>A), 621+1G>T (c.489+1G>T), 711+1G>T (c.579+1G>T), R334W (c.1000C>T), R347P (c.1040G>C), A455E (c.1364C>A), 1717-1G>A (c.1585-1G>A), R560T (c.1679G>C), R553X (c.1657C>T), G551D (c.1652G>A), 1898+1G>A (c.1766+1G>A), 2184delA (c.2052delA), 2789+5G>A (c.2657+5G>A), 3120+1G>A (c.2988+1G>A), R1162X (c.3484C>T), 3659delC (c.3528delC), 3849+10kbC>T (c.3717+12191C>T), W1282X (c.3846G>A), N1303K (c.3909C>G), 1078delT (c.948delT), 394delTT (c.262_263delTT), Y122X (c.366T>A), R347H (c.1040G>A), V520F (c.1558G>T), A559T (c.1675G>A), S549N (c.1646G>A), S549R (c.1647T>G), 1898+5G>T (c.1766+5G>T), 2183AA>G (c.2051_2052delAAinsG), 2307insA (c.2175_2176insA), Y1092X (c.3276C>A and c.3276C>G), M1101K (c.3302T>A), S1255X (c.3607A>G and C.3764C>A), 3876delA (c.3744delA), 3905insT (c.3773_3774insT), CFTR del e2,3 (c.54-5940_273+10250del21kb), W1089X (c.3266G>A), 1677delTA (c.1545_1546delTA), D1152H (c.3454G>C), R1158X (c.6472C>T), G178R (c.532G>A), 3791delC (c.3659delC), L206W (c.617T>G), E60X (c.178G>T), R75X (c.223C>T), Q493X (c.1477C>T), 2055del9>A (c.1923_1931del9insA), S1196X (c.3587C>G), 935delA (c.803delA), 2143delT (c.2012delT), K710X (c.2128A>T), G330X (c.988G>T), Q890X (c.2668C>T), R1066C (c.3196C>T), 3199del6 (c.3067_3072delATAGTG), 406-1G>A (c.274-1G>A).

The above mutations are listed according to the legacy nomenclature; the standard nomenclature is listed in parentheses. For specimens positive for R117H, the IVS8 poly-T tract status (5T/7T/9T) will also be reported. Poly-T tract status will be also reported if the provided study indication includes male infertility or atypical CF.

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

7 days diagnostic testing; 14 days carrier testing

CPT Codes

81220

Lab Area

Institute for Genomic Medicine

Synonyms

  • Cystic fibrosis carrier screen, CF carrier screen, CF mutation screen, CF screen, CF testing, CFTR, CF test, CF gene test, CF mutation panel, Common CF mutation panel, CF common variant panel, IGM Test

Estimated Patient Price

< $1,000

Synonyms

  • Cystic fibrosis carrier screen, CF carrier screen, CF mutation screen, CF screen, CF testing, CFTR, CF test, CF gene test, CF mutation panel, Common CF mutation panel, CF common variant panel, IGM Test

CPT Codes

81220

Clinical Information

Cystic fibrosis (CF) is an autosomal recessive disorder caused by the presence of pathogenic, loss-of-function genetic mutation (also known as genetic variant) in both alleles of the CFTR gene. Classic CF is characterized by chronic lung disease, gastrointestinal malabsorption, pancreatic insufficiency, and obstructive azoospermia in males. Non-classic CF (previously known as atypical CF) is characterized by milder symptoms with findings often limited to single organ system, such as recurrent pancreatitis, recurrent sinusitis, bilateral absence of vas deferens, nasal polyposis, or bronchiectasis.

Mutations Tested: deltaF508 (c.1521_1523delCTT), deltaI507 (c.1519_1521delATC), G542X (c.1624G>T), G85E (c.254G>A), R117H (c.350G>A), 621+1G>T (c.489+1G>T), 711+1G>T (c.579+1G>T), R334W (c.1000C>T), R347P (c.1040G>C), A455E (c.1364C>A), 1717-1G>A (c.1585-1G>A), R560T (c.1679G>C), R553X (c.1657C>T), G551D (c.1652G>A), 1898+1G>A (c.1766+1G>A), 2184delA (c.2052delA), 2789+5G>A (c.2657+5G>A), 3120+1G>A (c.2988+1G>A), R1162X (c.3484C>T), 3659delC (c.3528delC), 3849+10kbC>T (c.3717+12191C>T), W1282X (c.3846G>A), N1303K (c.3909C>G), 1078delT (c.948delT), 394delTT (c.262_263delTT), Y122X (c.366T>A), R347H (c.1040G>A), V520F (c.1558G>T), A559T (c.1675G>A), S549N (c.1646G>A), S549R (c.1647T>G), 1898+5G>T (c.1766+5G>T), 2183AA>G (c.2051_2052delAAinsG), 2307insA (c.2175_2176insA), Y1092X (c.3276C>A and c.3276C>G), M1101K (c.3302T>A), S1255X (c.3607A>G and C.3764C>A), 3876delA (c.3744delA), 3905insT (c.3773_3774insT), CFTR del e2,3 (c.54-5940_273+10250del21kb), W1089X (c.3266G>A), 1677delTA (c.1545_1546delTA), D1152H (c.3454G>C), R1158X (c.6472C>T), G178R (c.532G>A), 3791delC (c.3659delC), L206W (c.617T>G), E60X (c.178G>T), R75X (c.223C>T), Q493X (c.1477C>T), 2055del9>A (c.1923_1931del9insA), S1196X (c.3587C>G), 935delA (c.803delA), 2143delT (c.2012delT), K710X (c.2128A>T), G330X (c.988G>T), Q890X (c.2668C>T), R1066C (c.3196C>T), 3199del6 (c.3067_3072delATAGTG), 406-1G>A (c.274-1G>A).

The above mutations are listed according to the legacy nomenclature; the standard nomenclature is listed in parentheses. For specimens positive for R117H, the IVS8 poly-T tract status (5T/7T/9T) will also be reported. Poly-T tract status will be also reported if the provided study indication includes male infertility or atypical CF.

Methodology

Polymerase chain reaction (PCR)

Outpatient Submit with Specimen

Collect

Specimen Type Type of Container Volume of Specimen Status
Whole blood 4 mL Purple tube (EDTA) 4 mL-8 mL Preferred
Whole blood 3 mL Purple tube (EDTA) Infant: 1 mL-3 mL Preferred

Minimum Volume

Specimen Type Type of Container Minimum Volume
Whole blood 4 mL Purple tube (EDTA) 3 mL
Whole blood 3 mL Purple tube (EDTA) Infant: 1mL
     

Container Image

Inpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze

Outpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze

InLab Processing

Send to Molecular Genetics Lab with all submitted paperwork. For non-EPIC lab orders, lab staff to order GENSP in Sunquest. Frozen or centrifuged specimen may be accepted at Molecular Genetics Lab's discretion.

Stability

Whole blood: Room temperature 24 hour(s)
Whole blood: Refrigerated 72 hour(s)

Unacceptable Conditions

Clotted specimen, Wrong collection tube, Frozen specimen, Centrifuged specimen

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

7 days diagnostic testing; 14 days carrier testing

Remarks

If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.

If both members of the couple have been determined to be CF carriers, prenatal testing can be performed on an amniotic fluid sample as targeted familial variant analysis (see test code: FMLIS) or a send-out test. Diagnostic testing can be performed upon request when appropriate (such as confirmation of mutations identified on newborn screening).Please contact the Institute for Genomic Medicine Lab (614) 722-5321 for more information.

Clinical Information

Cystic fibrosis (CF) is an autosomal recessive disorder caused by the presence of pathogenic, loss-of-function genetic mutation (also known as genetic variant) in both alleles of the CFTR gene. Classic CF is characterized by chronic lung disease, gastrointestinal malabsorption, pancreatic insufficiency, and obstructive azoospermia in males. Non-classic CF (previously known as atypical CF) is characterized by milder symptoms with findings often limited to single organ system, such as recurrent pancreatitis, recurrent sinusitis, bilateral absence of vas deferens, nasal polyposis, or bronchiectasis.

Mutations Tested: deltaF508 (c.1521_1523delCTT), deltaI507 (c.1519_1521delATC), G542X (c.1624G>T), G85E (c.254G>A), R117H (c.350G>A), 621+1G>T (c.489+1G>T), 711+1G>T (c.579+1G>T), R334W (c.1000C>T), R347P (c.1040G>C), A455E (c.1364C>A), 1717-1G>A (c.1585-1G>A), R560T (c.1679G>C), R553X (c.1657C>T), G551D (c.1652G>A), 1898+1G>A (c.1766+1G>A), 2184delA (c.2052delA), 2789+5G>A (c.2657+5G>A), 3120+1G>A (c.2988+1G>A), R1162X (c.3484C>T), 3659delC (c.3528delC), 3849+10kbC>T (c.3717+12191C>T), W1282X (c.3846G>A), N1303K (c.3909C>G), 1078delT (c.948delT), 394delTT (c.262_263delTT), Y122X (c.366T>A), R347H (c.1040G>A), V520F (c.1558G>T), A559T (c.1675G>A), S549N (c.1646G>A), S549R (c.1647T>G), 1898+5G>T (c.1766+5G>T), 2183AA>G (c.2051_2052delAAinsG), 2307insA (c.2175_2176insA), Y1092X (c.3276C>A and c.3276C>G), M1101K (c.3302T>A), S1255X (c.3607A>G and C.3764C>A), 3876delA (c.3744delA), 3905insT (c.3773_3774insT), CFTR del e2,3 (c.54-5940_273+10250del21kb), W1089X (c.3266G>A), 1677delTA (c.1545_1546delTA), D1152H (c.3454G>C), R1158X (c.6472C>T), G178R (c.532G>A), 3791delC (c.3659delC), L206W (c.617T>G), E60X (c.178G>T), R75X (c.223C>T), Q493X (c.1477C>T), 2055del9>A (c.1923_1931del9insA), S1196X (c.3587C>G), 935delA (c.803delA), 2143delT (c.2012delT), K710X (c.2128A>T), G330X (c.988G>T), Q890X (c.2668C>T), R1066C (c.3196C>T), 3199del6 (c.3067_3072delATAGTG), 406-1G>A (c.274-1G>A).

The above mutations are listed according to the legacy nomenclature; the standard nomenclature is listed in parentheses. For specimens positive for R117H, the IVS8 poly-T tract status (5T/7T/9T) will also be reported. Poly-T tract status will be also reported if the provided study indication includes male infertility or atypical CF.

Synonyms

  • Cystic fibrosis carrier screen, CF carrier screen, CF mutation screen, CF screen, CF testing, CFTR, CF test, CF gene test, CF mutation panel, Common CF mutation panel, CF common variant panel, IGM Test

Methodology

Polymerase chain reaction (PCR)

CPT Codes

81220

Estimated Patient Price

< $1,000

DC Code

5321

Downtime Availability

4-Not available
Outpatient Requirements

Outpatient Submit with Specimen

Collect

Specimen Type Type of Container Volume of Specimen Status
Whole blood 4 mL Purple tube (EDTA) 4 mL-8 mL Preferred
Whole blood 3 mL Purple tube (EDTA) Infant: 1 mL-3 mL Preferred

Container Image

Outpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze

Unacceptable Conditions

Clotted specimen, Wrong collection tube, Frozen specimen, Centrifuged specimen

Stability

Whole blood: Room temperature 24 hour(s)
Whole blood: Refrigerated 72 hour(s)

Remarks

If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.

If both members of the couple have been determined to be CF carriers, prenatal testing can be performed on an amniotic fluid sample as targeted familial variant analysis (see test code: FMLIS) or a send-out test. Diagnostic testing can be performed upon request when appropriate (such as confirmation of mutations identified on newborn screening).Please contact the Institute for Genomic Medicine Lab (614) 722-5321 for more information.

Clinical Information

Cystic fibrosis (CF) is an autosomal recessive disorder caused by the presence of pathogenic, loss-of-function genetic mutation (also known as genetic variant) in both alleles of the CFTR gene. Classic CF is characterized by chronic lung disease, gastrointestinal malabsorption, pancreatic insufficiency, and obstructive azoospermia in males. Non-classic CF (previously known as atypical CF) is characterized by milder symptoms with findings often limited to single organ system, such as recurrent pancreatitis, recurrent sinusitis, bilateral absence of vas deferens, nasal polyposis, or bronchiectasis.

Mutations Tested: deltaF508 (c.1521_1523delCTT), deltaI507 (c.1519_1521delATC), G542X (c.1624G>T), G85E (c.254G>A), R117H (c.350G>A), 621+1G>T (c.489+1G>T), 711+1G>T (c.579+1G>T), R334W (c.1000C>T), R347P (c.1040G>C), A455E (c.1364C>A), 1717-1G>A (c.1585-1G>A), R560T (c.1679G>C), R553X (c.1657C>T), G551D (c.1652G>A), 1898+1G>A (c.1766+1G>A), 2184delA (c.2052delA), 2789+5G>A (c.2657+5G>A), 3120+1G>A (c.2988+1G>A), R1162X (c.3484C>T), 3659delC (c.3528delC), 3849+10kbC>T (c.3717+12191C>T), W1282X (c.3846G>A), N1303K (c.3909C>G), 1078delT (c.948delT), 394delTT (c.262_263delTT), Y122X (c.366T>A), R347H (c.1040G>A), V520F (c.1558G>T), A559T (c.1675G>A), S549N (c.1646G>A), S549R (c.1647T>G), 1898+5G>T (c.1766+5G>T), 2183AA>G (c.2051_2052delAAinsG), 2307insA (c.2175_2176insA), Y1092X (c.3276C>A and c.3276C>G), M1101K (c.3302T>A), S1255X (c.3607A>G and C.3764C>A), 3876delA (c.3744delA), 3905insT (c.3773_3774insT), CFTR del e2,3 (c.54-5940_273+10250del21kb), W1089X (c.3266G>A), 1677delTA (c.1545_1546delTA), D1152H (c.3454G>C), R1158X (c.6472C>T), G178R (c.532G>A), 3791delC (c.3659delC), L206W (c.617T>G), E60X (c.178G>T), R75X (c.223C>T), Q493X (c.1477C>T), 2055del9>A (c.1923_1931del9insA), S1196X (c.3587C>G), 935delA (c.803delA), 2143delT (c.2012delT), K710X (c.2128A>T), G330X (c.988G>T), Q890X (c.2668C>T), R1066C (c.3196C>T), 3199del6 (c.3067_3072delATAGTG), 406-1G>A (c.274-1G>A).

The above mutations are listed according to the legacy nomenclature; the standard nomenclature is listed in parentheses. For specimens positive for R117H, the IVS8 poly-T tract status (5T/7T/9T) will also be reported. Poly-T tract status will be also reported if the provided study indication includes male infertility or atypical CF.

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

7 days diagnostic testing; 14 days carrier testing

Lab Area

Institute for Genomic Medicine

Methodology

Polymerase chain reaction (PCR)

CPT Codes

81220

Synonyms

  • Cystic fibrosis carrier screen, CF carrier screen, CF mutation screen, CF screen, CF testing, CFTR, CF test, CF gene test, CF mutation panel, Common CF mutation panel, CF common variant panel, IGM Test
Inpatient Requirements

Collect

Specimen Type Type of Container Volume of Specimen Status
Whole blood 4 mL Purple tube (EDTA) 4 mL-8 mL Preferred
Whole blood 3 mL Purple tube (EDTA) Infant: 1 mL-3 mL Preferred

Minimum Volume

Specimen Type Type of Container Minimum Volume
Whole blood 4 mL Purple tube (EDTA) 3 mL
Whole blood 3 mL Purple tube (EDTA) Infant: 1mL
     

Container Image

Inpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze

Unacceptable Conditions

Clotted specimen, Wrong collection tube, Frozen specimen, Centrifuged specimen

Stability

Whole blood: Room temperature 24 hour(s)
Whole blood: Refrigerated 72 hour(s)

Remarks

If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.

If both members of the couple have been determined to be CF carriers, prenatal testing can be performed on an amniotic fluid sample as targeted familial variant analysis (see test code: FMLIS) or a send-out test. Diagnostic testing can be performed upon request when appropriate (such as confirmation of mutations identified on newborn screening).Please contact the Institute for Genomic Medicine Lab (614) 722-5321 for more information.

Clinical Information

Cystic fibrosis (CF) is an autosomal recessive disorder caused by the presence of pathogenic, loss-of-function genetic mutation (also known as genetic variant) in both alleles of the CFTR gene. Classic CF is characterized by chronic lung disease, gastrointestinal malabsorption, pancreatic insufficiency, and obstructive azoospermia in males. Non-classic CF (previously known as atypical CF) is characterized by milder symptoms with findings often limited to single organ system, such as recurrent pancreatitis, recurrent sinusitis, bilateral absence of vas deferens, nasal polyposis, or bronchiectasis.

Mutations Tested: deltaF508 (c.1521_1523delCTT), deltaI507 (c.1519_1521delATC), G542X (c.1624G>T), G85E (c.254G>A), R117H (c.350G>A), 621+1G>T (c.489+1G>T), 711+1G>T (c.579+1G>T), R334W (c.1000C>T), R347P (c.1040G>C), A455E (c.1364C>A), 1717-1G>A (c.1585-1G>A), R560T (c.1679G>C), R553X (c.1657C>T), G551D (c.1652G>A), 1898+1G>A (c.1766+1G>A), 2184delA (c.2052delA), 2789+5G>A (c.2657+5G>A), 3120+1G>A (c.2988+1G>A), R1162X (c.3484C>T), 3659delC (c.3528delC), 3849+10kbC>T (c.3717+12191C>T), W1282X (c.3846G>A), N1303K (c.3909C>G), 1078delT (c.948delT), 394delTT (c.262_263delTT), Y122X (c.366T>A), R347H (c.1040G>A), V520F (c.1558G>T), A559T (c.1675G>A), S549N (c.1646G>A), S549R (c.1647T>G), 1898+5G>T (c.1766+5G>T), 2183AA>G (c.2051_2052delAAinsG), 2307insA (c.2175_2176insA), Y1092X (c.3276C>A and c.3276C>G), M1101K (c.3302T>A), S1255X (c.3607A>G and C.3764C>A), 3876delA (c.3744delA), 3905insT (c.3773_3774insT), CFTR del e2,3 (c.54-5940_273+10250del21kb), W1089X (c.3266G>A), 1677delTA (c.1545_1546delTA), D1152H (c.3454G>C), R1158X (c.6472C>T), G178R (c.532G>A), 3791delC (c.3659delC), L206W (c.617T>G), E60X (c.178G>T), R75X (c.223C>T), Q493X (c.1477C>T), 2055del9>A (c.1923_1931del9insA), S1196X (c.3587C>G), 935delA (c.803delA), 2143delT (c.2012delT), K710X (c.2128A>T), G330X (c.988G>T), Q890X (c.2668C>T), R1066C (c.3196C>T), 3199del6 (c.3067_3072delATAGTG), 406-1G>A (c.274-1G>A).

The above mutations are listed according to the legacy nomenclature; the standard nomenclature is listed in parentheses. For specimens positive for R117H, the IVS8 poly-T tract status (5T/7T/9T) will also be reported. Poly-T tract status will be also reported if the provided study indication includes male infertility or atypical CF.

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

7 days diagnostic testing; 14 days carrier testing

CPT Codes

81220

Lab Area

Institute for Genomic Medicine

Synonyms

  • Cystic fibrosis carrier screen, CF carrier screen, CF mutation screen, CF screen, CF testing, CFTR, CF test, CF gene test, CF mutation panel, Common CF mutation panel, CF common variant panel, IGM Test

Estimated Patient Price

< $1,000
Overview/Billing

Synonyms

  • Cystic fibrosis carrier screen, CF carrier screen, CF mutation screen, CF screen, CF testing, CFTR, CF test, CF gene test, CF mutation panel, Common CF mutation panel, CF common variant panel, IGM Test

CPT Codes

81220
Interpretation

Clinical Information

Cystic fibrosis (CF) is an autosomal recessive disorder caused by the presence of pathogenic, loss-of-function genetic mutation (also known as genetic variant) in both alleles of the CFTR gene. Classic CF is characterized by chronic lung disease, gastrointestinal malabsorption, pancreatic insufficiency, and obstructive azoospermia in males. Non-classic CF (previously known as atypical CF) is characterized by milder symptoms with findings often limited to single organ system, such as recurrent pancreatitis, recurrent sinusitis, bilateral absence of vas deferens, nasal polyposis, or bronchiectasis.

Mutations Tested: deltaF508 (c.1521_1523delCTT), deltaI507 (c.1519_1521delATC), G542X (c.1624G>T), G85E (c.254G>A), R117H (c.350G>A), 621+1G>T (c.489+1G>T), 711+1G>T (c.579+1G>T), R334W (c.1000C>T), R347P (c.1040G>C), A455E (c.1364C>A), 1717-1G>A (c.1585-1G>A), R560T (c.1679G>C), R553X (c.1657C>T), G551D (c.1652G>A), 1898+1G>A (c.1766+1G>A), 2184delA (c.2052delA), 2789+5G>A (c.2657+5G>A), 3120+1G>A (c.2988+1G>A), R1162X (c.3484C>T), 3659delC (c.3528delC), 3849+10kbC>T (c.3717+12191C>T), W1282X (c.3846G>A), N1303K (c.3909C>G), 1078delT (c.948delT), 394delTT (c.262_263delTT), Y122X (c.366T>A), R347H (c.1040G>A), V520F (c.1558G>T), A559T (c.1675G>A), S549N (c.1646G>A), S549R (c.1647T>G), 1898+5G>T (c.1766+5G>T), 2183AA>G (c.2051_2052delAAinsG), 2307insA (c.2175_2176insA), Y1092X (c.3276C>A and c.3276C>G), M1101K (c.3302T>A), S1255X (c.3607A>G and C.3764C>A), 3876delA (c.3744delA), 3905insT (c.3773_3774insT), CFTR del e2,3 (c.54-5940_273+10250del21kb), W1089X (c.3266G>A), 1677delTA (c.1545_1546delTA), D1152H (c.3454G>C), R1158X (c.6472C>T), G178R (c.532G>A), 3791delC (c.3659delC), L206W (c.617T>G), E60X (c.178G>T), R75X (c.223C>T), Q493X (c.1477C>T), 2055del9>A (c.1923_1931del9insA), S1196X (c.3587C>G), 935delA (c.803delA), 2143delT (c.2012delT), K710X (c.2128A>T), G330X (c.988G>T), Q890X (c.2668C>T), R1066C (c.3196C>T), 3199del6 (c.3067_3072delATAGTG), 406-1G>A (c.274-1G>A).

The above mutations are listed according to the legacy nomenclature; the standard nomenclature is listed in parentheses. For specimens positive for R117H, the IVS8 poly-T tract status (5T/7T/9T) will also be reported. Poly-T tract status will be also reported if the provided study indication includes male infertility or atypical CF.

Methodology

Polymerase chain reaction (PCR)
NCH Lab Only

Outpatient Submit with Specimen

Collect

Specimen Type Type of Container Volume of Specimen Status
Whole blood 4 mL Purple tube (EDTA) 4 mL-8 mL Preferred
Whole blood 3 mL Purple tube (EDTA) Infant: 1 mL-3 mL Preferred

Minimum Volume

Specimen Type Type of Container Minimum Volume
Whole blood 4 mL Purple tube (EDTA) 3 mL
Whole blood 3 mL Purple tube (EDTA) Infant: 1mL
     

Container Image

Inpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze

Outpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze

InLab Processing

Send to Molecular Genetics Lab with all submitted paperwork. For non-EPIC lab orders, lab staff to order GENSP in Sunquest. Frozen or centrifuged specimen may be accepted at Molecular Genetics Lab's discretion.

Stability

Whole blood: Room temperature 24 hour(s)
Whole blood: Refrigerated 72 hour(s)

Unacceptable Conditions

Clotted specimen, Wrong collection tube, Frozen specimen, Centrifuged specimen

Days Performed

Monday through Saturday

Set Up Schedule

All tests not performed daily.

Typical Turnaround

7 days diagnostic testing; 14 days carrier testing

Remarks

If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.

If both members of the couple have been determined to be CF carriers, prenatal testing can be performed on an amniotic fluid sample as targeted familial variant analysis (see test code: FMLIS) or a send-out test. Diagnostic testing can be performed upon request when appropriate (such as confirmation of mutations identified on newborn screening).Please contact the Institute for Genomic Medicine Lab (614) 722-5321 for more information.

Clinical Information

Cystic fibrosis (CF) is an autosomal recessive disorder caused by the presence of pathogenic, loss-of-function genetic mutation (also known as genetic variant) in both alleles of the CFTR gene. Classic CF is characterized by chronic lung disease, gastrointestinal malabsorption, pancreatic insufficiency, and obstructive azoospermia in males. Non-classic CF (previously known as atypical CF) is characterized by milder symptoms with findings often limited to single organ system, such as recurrent pancreatitis, recurrent sinusitis, bilateral absence of vas deferens, nasal polyposis, or bronchiectasis.

Mutations Tested: deltaF508 (c.1521_1523delCTT), deltaI507 (c.1519_1521delATC), G542X (c.1624G>T), G85E (c.254G>A), R117H (c.350G>A), 621+1G>T (c.489+1G>T), 711+1G>T (c.579+1G>T), R334W (c.1000C>T), R347P (c.1040G>C), A455E (c.1364C>A), 1717-1G>A (c.1585-1G>A), R560T (c.1679G>C), R553X (c.1657C>T), G551D (c.1652G>A), 1898+1G>A (c.1766+1G>A), 2184delA (c.2052delA), 2789+5G>A (c.2657+5G>A), 3120+1G>A (c.2988+1G>A), R1162X (c.3484C>T), 3659delC (c.3528delC), 3849+10kbC>T (c.3717+12191C>T), W1282X (c.3846G>A), N1303K (c.3909C>G), 1078delT (c.948delT), 394delTT (c.262_263delTT), Y122X (c.366T>A), R347H (c.1040G>A), V520F (c.1558G>T), A559T (c.1675G>A), S549N (c.1646G>A), S549R (c.1647T>G), 1898+5G>T (c.1766+5G>T), 2183AA>G (c.2051_2052delAAinsG), 2307insA (c.2175_2176insA), Y1092X (c.3276C>A and c.3276C>G), M1101K (c.3302T>A), S1255X (c.3607A>G and C.3764C>A), 3876delA (c.3744delA), 3905insT (c.3773_3774insT), CFTR del e2,3 (c.54-5940_273+10250del21kb), W1089X (c.3266G>A), 1677delTA (c.1545_1546delTA), D1152H (c.3454G>C), R1158X (c.6472C>T), G178R (c.532G>A), 3791delC (c.3659delC), L206W (c.617T>G), E60X (c.178G>T), R75X (c.223C>T), Q493X (c.1477C>T), 2055del9>A (c.1923_1931del9insA), S1196X (c.3587C>G), 935delA (c.803delA), 2143delT (c.2012delT), K710X (c.2128A>T), G330X (c.988G>T), Q890X (c.2668C>T), R1066C (c.3196C>T), 3199del6 (c.3067_3072delATAGTG), 406-1G>A (c.274-1G>A).

The above mutations are listed according to the legacy nomenclature; the standard nomenclature is listed in parentheses. For specimens positive for R117H, the IVS8 poly-T tract status (5T/7T/9T) will also be reported. Poly-T tract status will be also reported if the provided study indication includes male infertility or atypical CF.

Synonyms

  • Cystic fibrosis carrier screen, CF carrier screen, CF mutation screen, CF screen, CF testing, CFTR, CF test, CF gene test, CF mutation panel, Common CF mutation panel, CF common variant panel, IGM Test

Methodology

Polymerase chain reaction (PCR)

CPT Codes

81220

Estimated Patient Price

< $1,000

DC Code

5321

Downtime Availability

4-Not available

Lab Area

Lab Area
Institute for Genomic Medicine