Code
NTG-DRLX-02CX
Panel
Active-Compendium
81459x1. Add 88360x1 for PD-L1 IHC.
81479x1. If sample is insufficient to produce RNA fusion results but DNA SNV/indel and/or CNV results are reported, 81479x1 still applies. If only RNA fusion results are reported, use 81445x1 instead. Add 88360x1 for PD-L1 IHC.
Clinical
Oncology,Pathology
A block is preferred for testing: >20% tumor and >10 mm2 of tissue surface area for NGS (~500 tumor cells)(additional 100 neoplastic cells for PD-L1).
If submitting 5-micron unstained slides, the following number of slides are requested:
Samples with >25 mm2 of tissue: 10 unstained slides (2 sections per slide preferred)
Samples with 10-24 mm2 of tissue: 20 unstained slides (2 sections per slide preferred)
Please submit 1 additional unstained slide for H&E and 3 additional unstained slides if performing PD-L1 testing.
If submitting 5-micron unstained slides, the following number of slides are requested:
Samples with >25 mm2 of tissue: 10 unstained slides (2 sections per slide preferred)
Samples with 10-24 mm2 of tissue: 20 unstained slides (2 sections per slide preferred)
Please submit 1 additional unstained slide for H&E and 3 additional unstained slides if performing PD-L1 testing.
Flag Active
True
Orderable Test Description
<p>NeoTYPE® DNA & RNA - Lung is a targeted next-generation sequencing profile that detects single nucleotide variants (SNV), insertions/deletions (InDels), copy number variants (CNV), and RNA fusions and splice variants in a total of 50 genes (44 genes analyzed by DNA and 19 by RNA), plus microsatellite instability (MSI) and tumor mutation burden (TMB). PD-L1 immunohistochemistry is optional. Results are summarized and details provided for prognostic findings, therapy susceptibility or resistance, available clinical trials, and more. A microsatellite instability (MSI) NGS result of "indeterminate" will create a reflex to MSI by PCR as long as the tumor percentage is ≥40% and paired normal tissue is available. If the sample is insufficient to produce either DNA or RNA results, the available results will be reported and alternate CPT® Codes may apply. SNVs/Indels/CNVs (44 genes): AKT1, ALK, ARAF, ARID1A, ATM, ATR, ATRX, BRAF, CDKN2A, CDKN2B, EGFR, ERBB2*, ERBB3, ERBB4, FBXW7, FGFR1, FGFR2, FGFR3, FGFR4, KEAP1, KIT, KMT2D, KRAS, MAP2K1, MET*, NF1, NFE2L2, NOTCH1, NRAS, NTRK1, NTRK3, PDGFRA, PIK3CA, PTEN, RB1, RBM10, RET, ROS1, SMAD4, SMARCA4, SMO, STK11, TERT Promoter, and TP53* CNV detection in addition to SNVs and indels. The full coding sequence of each DNA gene is tested. RNA Fusions (19 genes): ALK, BRAF, FGFR1, FGFR2, FGFR3, FGFR4, MET** including METex14 skipping, NOTCH1, NOTCH2, NRG1, NTRK1, NTRK2, NTRK3, PDGFB, PDGFRA, PDGFRB, RAF1, RET, ROS1 ** Splice variant detection in addition to fusions. The full coding sequence of each RNA gene is tested. IHC: PD-L1 22C3 FDA for NSCLC (tech-only available) Other Markers: Microsatellite Instability (MSI) and Tumor Mutation Burden (TMB) included.</p>
Orderable Turn Around Time
8-10 Days
Extra Note
Use cold pack for transport, making sure cold pack is not in direct contact with specimen. NYS clients please provide date and time of Collection.
Orderable Biomarkers
NY Approved
True
Orderable Biomarkers JSON
{"RNA Sequencing": {"Fusions": ["MET", "RAF1", "ROS1", "NOTCH1", "FGFR4", "NRG1", "PDGFB", "NOTCH2", "RET", "FGFR1", "NTRK1", "NTRK2", "NTRK3", "PDGFRA", "PDGFRB", "ALK", "BRAF", "FGFR2", "FGFR3"]}, "DNA Sequencing": {"SNVs + Indels": ["KIT", "KRAS", "KEAP1", "NRAS", "KMT2D", "NOTCH1", "FBXW7", "MAP2K1", "STK11", "ATRX", "ALK", "ARAF", "NF1", "NFE2L2", "CDKN2B", "RB1", "RBM10", "RET", "CDKN2A", "ROS1", "TERT", "AKT1", "ERBB3", "ATM", "ATR", "FGFR3", "FGFR2", "ARID1A", "SMARCA4", "EGFR", "ERBB2", "ERBB4", "FGFR4", "NTRK1", "FGFR1", "MET", "SMO", "NTRK3", "PDGFRA", "PIK3CA", "PTEN", "BRAF", "SMAD4", "TP53"], "CNVs": ["ERBB2"], "Genomic Signatures": ["MSI", "TMB"]}, "Fluorescence In Situ Hybridization (FISH)": {"Amplification(s)": ["MET"]}}
Keywords string
DNA & RNA Lung, Lung DNA & RNA, Lung 2.0, DNA and RNA, Non-small cell lung cancer NeoTYPE® DNA & RNA - Lung
Title URL
neotype-dna-rna-lung