Polycythemia Vera Reflexive Panel

General Information

Lab Name
Polycythemia Vera Reflexive Panel
Lab Code
JAKPV
Epic Name
Polycythemia Vera Reflexive Panel
Description

Initial testing is performed to qualitatively evaluate for the JAK2 V617F mutation. If this is negative, JAK2 sequencing by NGS [HCAPSG] will be reflexively ordered with additional charge. Please complete a Hematopathology test form found at Request Form.

Synonyms
JAK2 Exon 12, JAK2 Val617Phe mutation, Janus tyrosine kinase 2, Polycythemia, Polycythemia Vera, PV
Components

Interpretation

Method

PCR amplification of JAK2 from genomic DNA, specific for V617F point mutation. May reflexively include single gene next-generation sequencing from genomic DNA for JAK2 exons 3-25.

Reference Range
See individual components

Ordering & Collection

Specimen Type
Blood, Bone Marrow, Fresh or Frozen Tissue, Fluids, Slides, Sorted cells
Collection

Preferred:
Blood: 6mL in Lavender Top (EDTA)

Bone Marrow: 1-2mL in Lavender Top (EDTA)

Tissue, Fluids or Sorted cells: Sterile container in RPMI

Slides: 10 unstained peripheral blood or bone marrow smears

Accepted:
Green Tops (Heparin), while green tops are accepted for testing, there is documentation that heparin can interfere with some PCR assays.

Extracted DNA will only be accepted from CLIA certified laboratories.

PB or BM from stained or cover-slipped slides

Unacceptable:
Specimens received beyond stability limit.
Specimens with low volume or inadequate WBC
Formalin-fixed paraffin embedded tissue (FFPE/PET)
Decalcified or unacceptable fixatives

Forms & Requisitions

Request Form

Handling Instructions
  • Deliver samples to Hematopathology as soon as possible.
  • If sample is older than 48 hours, please store at 2-6°C upon receipt and send refrigerated.
  • Samples stored at room temperature or refrigerated older than 7 days will be rejected.
  • Frozen samples should be shipped on dry ice.
Quantity
Requested: 6mL EDTA/BMA: 1-2mL EDTA/Slides: 10 unstained PB or BM smears
Minimum: 1mL EDTA/ BMA: 0.5mL EDTA/ Slides: 5 slides

Processing

Receiving Instructions

Send specimens to Hematopathology – Molecular department for processing.

The stability limit for Blood and Bone Marrow is 7 days, samples beyond this limit will be rejected.

Misc Sendout

Performance

Lab Department
Molecular Hematopathology(MHP)
Frequency
Monday, Wednesday and Friday: Results available within 24 hours unless reflexed to NGS, then results within 12 - 14 days from start of testing. Cases requiring repeat testing, review, or addressing other considerations may have a delay of ~ 12 additional days.
Available STAT?
No
Performing Location(s)
Other Hematopathology, Molecular
206-606-7060

UW Hematopathology Laboratory, G7-800
Fred Hutchinson Cancer Center
825 Eastlake Avenue E.
Seattle, WA 98109

Hematopathology, Molecular hours:
7:00 am - 5:30 pm M-F
8:00 am - 4:30 pm Saturday, closed on Sunday, and with reduced staffing on major holidays

Billing & Coding

CPT Codes
81270
LOINC
43399-5
Interfaced Order Code
UOW5455