Epidermal Growth Factor Receptor (EGFR) Mutation, Cobas V2, Liquid Biopsy

Epidermal Growth Factor Receptor (EGFR) Mutation, Cobas V2, Liquid Biopsy

Test Code

94718
81235
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
94718
81235
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.

Clinical Significance

Epidermal Growth Factor Receptor (EGFR) Mutation, Cobas V2, Liquid Biopsy - The test is indicated as a companion diagnostic to aid in selecting NSCLC patients for treatment with the targeted therapies listed below in accordance with the approved therapeutic product labeling:
TARCEVA® (erlotinib) for Exon 19 deletions and L858R in FFPET and plasma TAGRISSO™ (osimertinib) for T790M in FFPET and plasma*

Patients with positive Cobas® EGFR Mutation Test v2 test results using plasma specimens for the presence of EGFR exon 19 deletions or L858R mutations are eligible for treatment with certain Tyrosine Kinase Inhibitors (see below).
Patients ...

Test Details

Methodology

Real-Time Polymerase Chain Reaction

Reference Range(s)

Not detected

Alternative Name(s)

Tarceva, T790M, EGFR, Tagrisso, erlotinib, NSCLC, osimertinib

LOINC® Codes, Performing Laboratory

Methodology

Real-Time Polymerase Chain Reaction

Reference Range(s)

Not detected

Alternative Name(s)

Tarceva, T790M, EGFR, Tagrisso, erlotinib, NSCLC, osimertinib

Preferred Specimen(s)

4 mL plasma collected in two K2 EDTA (lavender-top) tubes

Minimum Volume

2 mL

Collection Instructions

Submit 4 mL plasma collected in two K2 EDTA (lavender-top) tubes and separate plasma from blood within four hours of collection time. Shipping on dry ice and maintaining at -70° C at all times is preferred. Specimens may be shipped refrigerated if specimen can be maintained refrigerated and will reach testing lab within 72 hours.

Transport Container

Transport tube

Transport Temperature

Frozen -70° C is preferred, refrigerated acceptable if received within 72 hours

Specimen Stability

  • Room temperature: Unacceptable
  • Refrigerated: 72 hours
  • Frozen -20° C: Unacceptable
  • Frozen -70° C: 1 year

Setup Schedule

4 mL plasma collected in two K2 EDTA (lavender-top) tubes
2 mL
Submit 4 mL plasma collected in two K2 EDTA (lavender-top) tubes and separate plasma from blood within four hours of collection time. Shipping on dry ice and maintaining at -70° C at all times is preferred. Specimens may be shipped refrigerated if specimen can be maintained refrigerated and will reach testing lab within 72 hours.
Transport tube
Frozen -70° C is preferred, refrigerated acceptable if received within 72 hours
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen -20° C: Unacceptable
Frozen -70° C: 1 year
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection is not available in your area through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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