Test ID JAKXB JAK2 Exon 12 and Other Non-V617F Mutation Detection, Blood
Useful For
Second-order testing to aid in the distinction between a reactive cytosis and a myeloproliferative neoplasm, particularly when a diagnosis of polycythemia is being considered, using blood specimens
Special Instructions
Method Name
Sanger Sequencing
Reporting Name
JAK2 Exon 12 Mutation Detection, BSpecimen Type
Whole bloodOrdering Guidance
In all cases being evaluated for JAK2 mutation status, the initial test that should be ordered is JAK2B / JAK2 V617F Mutation Detection, Blood, a sensitive assay for detection of the mutation. However, if no JAK2 V617F mutation is found, further evaluation of JAK2 may be clinically indicated.
Additional Testing Requirements
Shipping Instructions
Specimen must arrive within 5 days (120 hours) of collection. Collect and package specimen as close to shipping time as possible.
Necessary Information
Date of collection is required.
Specimen Required
Container/Tube:
Preferred: Lavender top (EDTA)
Acceptable: Yellow top (ACD)
Specimen Volume: 10 mL
Collection Instructions:
1. Invert several times to mix blood.
2. Send whole blood specimen in original tube. Do not aliquot.
Specimen Minimum Volume
8 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Whole blood | Refrigerated (preferred) | 5 days | PURPLE OR PINK TOP/EDTA |
Ambient | 5 days | PURPLE OR PINK TOP/EDTA |
Reference Values
An interpretive report will be provided.
Day(s) Performed
Monday through Friday
Performing Laboratory
Mayo Clinic Laboratories in RochesterCPT Code Information
0027U-JAK2 (Janus kinase 2) (eg, myeloproliferative disorder), exon 12 sequence and exon 13 sequence, if performed
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
JAKXB | JAK2 Exon 12 Mutation Detection, B | 55300-8 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
39467 | JAK2 Sequencing Result | 55300-8 |
20194 | Final Diagnosis: | 34574-4 |
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.Testing Algorithm
This is a second-order test that should be used when the test for the JAK2B / JAK2 V617F Mutation Detection, Blood test is negative. The sensitivity of this assay is much less than that of the JAK2B test. This is because the sequencing technique is required to evaluate for many potential mutations. The sensitive JAK2B test should always be performed first, as the JAK2 mutation burden may be very low in some specimens. If the JAK2B test is negative, then this assay should be performed for detection of non-V617F JAK2 mutations.
For more information see:
-Myeloproliferative Neoplasm: A Diagnostic Approach to Peripheral Blood Evaluation
Report Available
5 to 8 daysNY State Approved
YesForms
1. Hematopathology Patient Information (T676)
2. If not ordering electronically, complete, print, and send a Hematopathology/Cytogenetics Test Request (T726) with the specimen.