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Test Code F8INV Hemophilia A F8 Gene, Intron 1 and 22 Inversion Mutation Analysis, Whole Blood

Useful For

First-tier molecular testing for male patients affected with severe hemophilia A when a variant has not been identified in the family

 

Determining hemophilia A carrier status for at-risk female patients, ie, individuals with a family history of severe hemophilia A

Testing Algorithm

Maternal cell contamination testing will be performed for all cord blood specimens. A maternal whole blood sample with an order for MATCC / Maternal Cell Contamination, Molecular Analysis, Varies is also required to perform this test. See Additional Testing Requirements.

 

The following algorithms are available:

-Hemophilia Carrier Testing Algorithm

-Hemophilia Testing Algorithm

Reporting Name

HA F8 Intron 1/22 Inversion, B

Specimen Type

Whole blood


Ordering Guidance


For evaluation of a patient with bleeding symptoms and no known personal history of a bleeding disorder, consider ALBLD / Bleeding Diathesis Profile, Limited, Plasma or the specific factor assays.



Additional Testing Requirements


Due to the complexity of testing non-peripheral blood, consultation with the laboratory is required for all cord blood samples. Order this test on the cord blood specimen (only 1 specimen tube required) and order MATCC / Maternal Cell Contamination, Molecular Analysis, Varies on the maternal specimen.



Necessary Information


Hemophilia A Patient Information(T712) is required. Testing may proceed without the patient information, however, the information aids in providing a more thorough interpretation. Ordering providers are strongly encouraged to fill out the form and send with the specimen.



Specimen Required


Patient Preparation: A previous bone marrow transplant from an allogenic donor will interfere with testing. Call 800-533-1710 for instructions for testing patients who have received a bone marrow transplant.

Container/Tube:

Preferred: Lavender top (EDTA)

Acceptable: Yellow top (ACD) or blue top (3.2% sodium citrate)

Specimen Volume: 4 mL

Collection Instructions:

1. Invert several times to mix blood.

2. Send whole blood specimen in original tube. Do not aliquot.


Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Whole blood Ambient (preferred) 7 days
  Frozen  7 days
  Refrigerated  7 days

Day(s) Performed

Weekly

Report Available

14 to 21 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

81403

LOINC Code Information

Test ID Test Order Name Order LOINC Value
F8INV HA F8 Intron 1/22 Inversion, B 81761-9

 

Result ID Test Result Name Result LOINC Value
35760 HA F8 Int 1/22 Reason for Referral 42349-1
35761 HA F8 Intron 1/22 Inversion, B 81761-9
35762 F8INV Interpretation 69047-9
35763 HA F8 Intron 1/22 Reviewed By 18771-6

Reference Values

An interpretive report will be provided.

Method Name

Polymerase Chain Reaction (PCR) or Inverse Shifting-Polymerase Chain Reaction (IS-PCR)

Forms

1. Hemophilia A Patient Information (T712) is required.

2. New York Clients-Informed consent is required. Document on the request form or electronic order that a copy is on file. The following documents are available:

-Informed Consent for Genetic Testing (T576)

-Informed Consent for Genetic Testing-Spanish (T826)

3. If not ordering electronically, complete, print, and send a Coagulation Test Request (T753) with the specimen.