5090

Test CODE NAME

5090

Pharmacogenetic PGx Testing: CYP2C9 Panel / VKORC1 Warfarin

Methodology: Polymerase Chain Reaction (PCR)
Performed: Wed
Reported: 7 days
Specimen Required: Collect: Buccal swab (check cell) collection kit. 
Specimen preparation:
 1. Verify that the subject’s mouth is empty 
 2. Wash or sanitize hands then put on gloves and mask 
 3. Choose a sterile cotton, foam, or flocked swab 
 4. Carefully remove swab from package 
 5. Avoid touching swab tip with gloves or against any surface 
 6. Have the subject open his or her mouth and immediately bring swab tip to inside of cheek 
 7. Gently rub and rotate swab along the inside of the cheek for 30 seconds, ensuring that the entire swab-tip has made contact with the cheek 
 8. Immediately remove swab, being careful not to touch swab tip against teeth, lips, or other surface 
 9. Place swab directly into original wrapper 
10. Label the wrapper with identifying information 
REMARK: TEST IS NOT ACCEPTED FOR MEDICAID
Storage/Transport Temperature: Room Temperature 
Stability: Room Temperature 1 week; Refrigerated: 1 month 
NOTE: * This test is not available for New York patients * 

Performing Lab
Accu Reference Medical Laboratory
CPT Code(s): See individual components