Mayo Clinic Laboratories CMS IMPACTED Proc Code IMPACTED Test ID Test Name 81120 65661A IDH1 COMMON VARIANTS 81120 92361A IDH1 COMMON VARIANTS 81120 IDH12 IDH1/IDH2 MUTATION ANALYSIS, TUMOR 81120 NGAMT AML 4 Gene Panel, Therapeutic 81121 65661B IDH2 COMMON VARIANTS 81121 92361B IDH2 COMMON VARIANTS 81121 IDH12 IDH1/IDH2 MUTATION ANALYSIS, TUMOR 81121 NGAMT AML 4 Gene Panel, Therapeutic 81162 64330A BRCA1&2 SEQ & FULL DUP/DEL 81162 75231N BRCA1&2 GEN FULL SEQ DUP/DEL 81162 75241C BRCA1&2 GEN FULL SEQ DUP/DEL 81162 AJADD BRCA1/2 FULL GENE ADD ON 81162 BRCRC HEREDITARY BREAST/COLON PANEL 81162 FBRIN INTEGRATED BRACANALYSIS 81162 FBRMY BRACAnalysis with myRisk 81162 FCNEX CANCERNEXT 81163 75241D BRCA1&2 GENE FULL SEQ ALYS 81163 FBRIN INTEGRATED BRACANALYSIS 81170 BAKDM BCR/ABL1 MUTATION, SEQUENCING 81206 65248C BCR/ABL1 GENE MAJOR BP 81206 89006Z1 BCR/ABL1 GENE MAJOR BP 81206 B210R BCR/ABL1, P210, QUANT, REFLEX 81206 BADX BCR/ABL, RNA-Qual, Diagnostic 81206 BCRAB BCR/ABL, p210, Quant, Monitor 81206 BCRFX BCR/ABL1 REFLEX, QUAL/QUANT 81207 65248B BCR/ABL1 GENE MINOR BP 81207 89006Z2 BCR/ABL1 GENE MINOR BP 81207 B190R BCR/ABL1, P190, QUANT, REFLEX 81207 BA190 BCR/ABL, p190, Quant, Monitor 81207 BADX BCR/ABL, RNA-Qual, Diagnostic 81207 BCRFX BCR/ABL1 REFLEX, QUAL/QUANT 81208 65248A BCR/ABL1 GENE OTHER BP 81208 89006Z3 BCR/ABL1 GENE OTHER BP 81208 BADX BCR/ABL, RNA-Qual, Diagnostic 81208 BCRFX BCR/ABL1 REFLEX, QUAL/QUANT 81209 35350B BLM GENE 81209 AJPO Ashkenazi Jewish Panel Without CF 81210 36517A BRAF GENE 81210 75254A BRAF GENE 81210 BBRAF BRAF Analysis 81210 BRAFB CFDNA BRAF V600 TEST, BLOOD 81210 BRAFD BRAF V600 Somatic Mutation Analysis, Tumor 81210 RASFP RAS/RAF Panel, Tumor 81212 BRAJ3 BRCA ASHKENAZI JEWISH 3 SITE PANEL 81215 _G085 GENE BRCA1 81217 _G086 GENE BRCA 2 81218 CEBPA CEBPA Mutations, Sequencing 81219 CALR MPN, CALR Gene Mutation, Exon 9 81219 CALX CALR, Gene Mutation, Exon 9, Reflex 81219 MPNCM MPN (CALR, MPL) REFLEX 81220 CFP Cystic Fibrosis Mutation Panel 81221 _G003 Gene CFTR_SEQ 81222 35388A CFTR GENE DUP/DELET VARIANTS 81222 35640D CFTR GENE DUP/DELET VARIANTS Mayo Clinic Laboratories 81222 CFTRZ CFTR Gene, Full Gene Analysis 81222 _G004 Gene CFTR_MLPA 81222 HPPAN Hereditary Pancreatitis Panel 81223 35388B CFTR GENE FULL SEQUENCE 81223 35640C CFTR GENE FULL SEQUENCE 81223 75261F CFTR GENE FULL SEQUENCE 81223 CFTRZ CFTR Gene, Full Gene Analysis 81223 FCFP2 FORESIGHT CARRIER SCRN SEQUENCING 81223 HPPAN Hereditary Pancreatitis Panel 81225 2C19V CYP2C19 GENOTYPE 81225 57750A CYP2C19 GENE COM VARIANTS 81225 65871C CYP2C19 GENE COM VARIANTS 81225 75077B CYP2C19 GENE COM VARIANTS 81225 75279B CYP2C19 GENE COM VARIANTS 81225 FGSP GENESIGHT PSYCHOTROPIC 81225 FOR7 CYP2C19 81225 FORTM OneOme RightMed 81225 FRT19 CYP2C19 81225 FRTMD ONEOME RIGHTMED 81225 PSYGP Psychotropic PGx Panel 81226 57750B CYP2D6 GENE COM VARIANTS 81226 65871B CYP2D6 GENE COM VARIANTS 81226 75077A CYP2D6 GENE COM VARIANTS 81226 75279C CYP2D6 GENE COM VARIANTS 81226 FGSP GENESIGHT PSYCHOTROPIC 81226 FOR8 CYP2D6 81226 FORTM OneOme RightMed 81226 FRTD6 CYP2D6 81226 FRTMD ONEOME RIGHTMED 81226 PSYGP Psychotropic PGx Panel 81227 2C9GV CYP2C9 GENOTYPING TEST 81227 57750C CYP2C9 GENE COM VARIANTS 81227 65871D CYP2C9 GENE COM VARIANT 81227 75077E CYP2C9 GENE COM VARIANTS 81227 75279D CYP2C9 GENE COM VARIANTS 81227 FGSP GENESIGHT PSYCHOTROPIC 81227 FOR5 CYP2C9 81227 FORTM OneOme RightMed 81227 FRTC9 CYP2C9 81227 FRTMD ONEOME RIGHTMED 81227 PSYGP Psychotropic PGx Panel 81235 EGFRD CFDNA EGFR MUTATION ANALYSIS, BLOOD 81235 EGFRR Lung Cancer, EGFR with ALK Reflex 81235 EGFRT EGFR Gene, Mutation Analysis, Tumor 81235 T790M CFDNA EGFR T790M TEST, BLOOD 81245 19739Z FLT3 GENE 81245 65661C FLT3 GENE 81245 FLT FLT3 Mutation Analysis, V 81245 NGAMT AML 4 Gene Panel, Therapeutic 81246 19739D FLT3 GENE ANALYSIS 81246 65661D FLT3 GENE ANALYSIS 81246 FLT FLT3 Mutation Analysis, V 81246 NGAMT AML 4 Gene Panel, Therapeutic 81256 HFE Hemochromatosis HFE Gene Analysis,B 81261 31141Z3 IGH GENE REARRANGE AMP METH Mayo Clinic Laboratories 81261 31142Z3 IGH GENE REARRANGE AMP METH 81261 83123Z3 IGH GENE REARRANGE AMP METH 81261 BCGBM Immunoglobulin Gene Rearrange, BM 81261 BCGR Immunoglobulin Gene Rearrange, B 81261 BCGRV Immunoglobulin Gene Rearrange, V 81263 BCLL IGH Somatic Hypermutation in B-CLL 81264 31141Z2 IGK REARRANGEABN CLONAL POP 81264 31142Z2 IGK REARRANGEABN CLONAL POP 81264 83123Z2 IGK REARRANGEABN CLONAL POP 81264 BCGBM Immunoglobulin Gene Rearrange, BM 81264 BCGR Immunoglobulin Gene Rearrange, B 81264 BCGRV Immunoglobulin Gene Rearrange, V 81265 CHRGB Chimerism-Recipient Germline 81265 MULT Zygosity Testing 81265 SPECI Specimen Source Identification 81265 _STR1 Comp analysis using STR (Bill only) 81266 ADONO ADDITIONAL CHIMERISM DONOR 81266 _STR2 Add'l comp analysis w/STR (Bill Only) 81267 CHIMU CHIMERISM TRANSPLANT NO CELL SORT 81268 SORT1 CHIMERISM CELL SORT 1 81268 SORT2 CHIMERISM CELL SORT 2 81270 88715A JAK2 GENE 81270 JAK2B JAK2 V617F Mutation Detection, B 81270 JAK2M JAK2 V617F MUTATION DETECTION, BM 81270 JAK2V JAK2 V617F MUTATION DETECTION, V 81270 MPNR MPN (JAK2 V617F, CALR, MPL) Reflex 81270 PVJAK JAK2 EXON 12-15 SEQUENCING, REFLEX 81272 35342B KIT GENE TARGETED SEQ ANALYS 81272 GISTP GIST Panel, Tumor 81272 KIT9 KIT exon 9, Mutation Analysis 81272 KITE KIT MUTATION, HEMATOLOGIC NEOPLASM 81273 KITVS KIT Asp816Val Mutation Analysis, V 81275 36517B KRAS GENE 81275 68003A KRAS GENE 81275 75254B KRAS GENE VARIANTS EXON 2 81275 KRASC KRAS Mutation Analysis, Colorectal 81275 KRASD CFDNA KRAS 12, 13, 61, 146 BLOOD 81275 KRASO KRAS Mutation Analysis, Other 81275 RASFP RAS/RAF Panel, Tumor 81276 68003B KRAS GENE ADDL VARIANTS 81276 KRASD CFDNA KRAS 12, 13, 61, 146 BLOOD 81287 MGMT MGMT Promoter Methylation, Tumor 81301 TMSI Tumor, Microsatellite Instability 81305 LPLFX REFLEX TESTING OF MYD88 AND CXCR4 81305 MYD88 MYD88 L265P Gene Mutation Analysis 81310 NPM1Q NPM1 Mutation Analysis, V 81311 36517E NRAS GENE VARIANTS EXON 2&3 81311 63161E NRAS GENE VARIANTS EXON 2&3 81311 65562C NRAS GENE VARIANTS EXON 2&3 81311 75254G NRAS GENE VARIANTS EXON 2&3 81311 NSRGP Noonan Syndrome and Related Panel,B 81311 PMNSR POSTMORTEM NOONAN AND RELATED PANEL 81311 RASFP RAS/RAF Panel, Tumor 81313 FPPCA PCA3 81314 35342C PDGFRA GENE Mayo Clinic Laboratories 81314 GISTP GIST Panel, Tumor 81315 PMLR PML/RARA QUANTITATIVE,PCR 81335 75279N TPMT GENE COM VARIANTS 81335 FOR27 TPMT 81335 FORTM OneOme RightMed 81335 FRTMD ONEOME RIGHTMED 81335 FRTTP TPMT 81340 31139Z1 TRB@ GENE REARRANGE AMPLIFY 81340 31140Z1 tTRB@ GENE REARRANGE AMPLIFY 81340 83122Z1 TRB@ GENE REARRANGE AMPLIFY 81340 TCGBM T Cell Receptor Gene Rearrange, BM 81340 TCGR T Cell Receptor Gene Rearrange, B 81340 TCGRV T Cell Receptor Gene Rearrange, V 81340 TCRVB TCR Spectratyping, B 81342 31139Z2 TRG GENE REARRANGEMENT ANAL 81342 31140Z2 TRG GENE REARRANGEMENT ANAL 81342 83122Z2 TRG GENE REARRANGEMENT ANAL 81342 TCGBM T Cell Receptor Gene Rearrange, BM 81342 TCGR T Cell Receptor Gene Rearrange, B 81342 TCGRV T Cell Receptor Gene Rearrange, V 81345 TERT TERT PROMOTER ANALYSIS, TUMOR 81371 68300C HLA I & II TYPE VERIFY LR 81371 68301C HLA I & II TYPE VERIFY LR 81371 CFABR HLA A,B,DR Mol. Phenotype, Confirm 81371 LRBUD LR ABDR, Related Donor, Swab 81371 LRBUR Confirm Typing, Recip, Swab 81371 LRDNR LR ABDR, Related Donor 81371 LRREC Confirmatory Typing, Recipient 81372 1DIS HLA-A-B-C DisAssoc Typing LowRes,B 81372 609354A HLA I TYPING COMPLETE LR 81372 SSO1 HLA CLASS I MOL. PHENOTYPE, B 81373 CFC HLA C Mol. Phenotype, Confirm 81373 CFCQP HLA C,DQ,DP Mol. Phenotype, Confirm 81375 SSOII HLA CLASS II MOL. PHENOTYPE, B 81376 2DIS HLA-DR-DQ DisAssoc Typing LowRes,B 81376 31928A HLA II TYPING 1 LOCUS LR 81376 609356A HLA II TYPING 1 LOCUS LR 81376 88906A HLA II TYPING 1 LOCUS LR 81376 CDCOM Celiac Disease Comprehensive Cascade 81376 CDGF Celiac Disease Gluten-Free Cascade 81376 CELI Celiac Associated HLA-DQ Typing 81376 CELI2 HLA-DQ Typing 81376 CFCQP HLA C,DQ,DP Mol. Phenotype, Confirm 81376 CFCQP HLA C,DQ,DP Mol. Phenotype, Confirm 81376 CFDP HLA DPB1 Mol. Phenotype, Confirm 81376 CFDQ HLA DQB1 Mol. Phenotype, Confirm 81376 NARC NARCOLEPSY ASSOCIATED AG 81379 68295A HLA I TYPING COMPLETE HR 81379 68296A HLA I TYPING COMPLETE HR 81379 68297B HLA I TYPING COMPLETE HR 81379 HRDNR HR Class I and II, Related Donor 81379 HRMDB HR Class I and II, NMDP Donor 81379 HRREC HR Class I and II, Recipient 81379 HRSI HIGH RESOLUTION CLASS I PHENOTYPE 81380 91498Z UNLISTED MOLECULAR PATHOLOGY Mayo Clinic Laboratories 81380 91499Z HLA I TYPING 1 LOCUS HR 81380 91500Z HLA I TYPING 1 LOCUS HR 81380 FHLAA HLA A High Res by DNA Seq 81380 FHLAB HLA B High Res by DNA Seq 81380 FHLAC HLA C High Res by DNA Seq 81381 57750F HLA I TYPING 1 ALLELE HR 81381 64368A HLA I TYPING 1 ALLELE HR 81381 64369A HLA I TYPING 1 ALLELE HR 81381 65871H HLA I TYPING 1 ALLELE HR 81381 75077D HLA I TYPING 1 ALLELE HR 81381 75358A HLA I TYPING 1 ALLELE HR 81381 75431A HLA I TYPING 1 ALLELE HR 81381 CARPB CARBAMAZEPINE PGX PANEL, B 81381 CARPO CARBAMAZEPINE PGX PANEL, SALIVA 81381 FGSP GENESIGHT PSYCHOTROPIC 81381 FLAPG HLA-A 81381 FLBPG HLA-B 81381 FOR18 HLA-A 81381 FOR19 HLA-B 81381 FORTM OneOme RightMed 81381 FORTM OneOme RightMed 81381 FRTMD ONEOME RIGHTMED 81381 FRTMD ONEOME RIGHTMED 81381 HL57V HLA-B 5701 Genotype, PGx 81381 HL58O HLA-B 5801, Allopurinol, Saliva 81381 HLA58 HLA-B 5801 Genotype, Allopurinol, B 81381 PSYGP Psychotropic PGx Panel 81382 68295B HLA II TYPING 1 LOC HR 81382 68296B HLA II TYPING 1 LOC HR 81382 68297A HLA II TYPING 1 LOC HR 81382 DPHRS High