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Germline NGS Custom Gene Panel (DH MyExome)

eDH Procedure Code(s)

LAB1847 Germline NGS Panels (DH MyExome)
LAB2050 Germline Custom Gene Panel (DH MyExome) —LAB ONLY

Test Information

Ordering Germline NGS panels and Exome sequencing is only available by referral or prior consult with Genetics providers at DH-H. To request a buccal kit, contact LABCRC@hitchcock.org
When ordering the Germline Custom Gene Panel (DH MyExome), please indicate what specific genes are required – refer to the pdfs and gene lists below:
NDD v1.0 gene list as of Nov 2022, see link 13841 (testcatalog.org)
CTD v1.0 gene list as of Nov 2022, see link 13842 (testcatalog.org)
aHUS panel gene list: CFH, CFI, MCP (CD46), CFB, CFHR5, C3, THBD, DGKE, PLG, ADAMTS13, MMACHC, G6PD and WT1
For additional information, please contact the CGAT lab 603-650-8257 or email CGAT_NGS_Group@hitchcock.org
Please provide a new order request to the CGAT laboratory if add-on testing is requested.

Order Questions

LAB1847 Germline NGS Panels (DH MyExome)
  • Type of panel requested
  • Provide detailed clinical phenotype on proband and/or date of clinical notes where this information can be accessed in patient's EMR
  • Opt in for ACMG secondary findings for Proband?
  • How many family members of the proband are involved? (Select one option from 0-5)
  • I understand that it is my responsibility (as the ordering provider) to obtain a signed consent form when ordering germline genetic testing and that the DHMC genetic consent form can be found here: Genetic Consent Form
.
LAB2050 Germline Custom Gene Panel (DH MyExome)
  • Opt in for ACMG secondary findings for Proband?
  • How many family members of the proband are involved? (Select one option from 0-5)
  • Provide detailed clinical phenotype on proband and/or date of clinical notes where this information can be accessed in patient's EMR
  • How will patient be provided a buccal kit for this collection?
  • Will patient be provided a Buccal Kit at this visit?
  • Opt in for ACMG secondary findings for this family member?

Specimen Information

Specimen Type Specimen Source Acceptable Containers Minimum Test Volume (mL)
Swab Varies BucSwb-R
Blood Varies Lav4-R 1.0
Blood Varies Lav6-R 1.0

Shipping and Handling

Processing Instructions: N/A

Transport Temperature: Refrigerated 4°C
Transport Instructions: N/A

Specimen Stability Unprocessed
Blood: Refrigerated @ 4°C for 7 days
Buccal swab: Ambient or refrigerated @ 4°C for 6 months

Specimen Stability Post Processing
Ambient: N/A
Refrigerate: N/A
Frozen: N/A

Test Components

Component LOINC Code
NGS REPORT STATUS 62364-5

Turnaround Time (TAT)

10 Weeks

CPT Code(s)

81443

Performing Lab Section

Molecular Pathology

Performing Lab(s)

Dartmouth Hitchcock Medical Center Laboratory (MHMH)