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Specimen Collection Manual and Test Catalog

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PANCREATITIS PANEL

Geisinger Epic Procedure Code:  LAB5205    Geisinger Epic ID:  198530

SPECIMEN COLLECTION
Specimen type: 

Buccal, saliva, EDTA whole blood


Preferred collection container: 
Alternate collection container: 
6 mL pink-top K2 EDTA tube
Ambry Saliva or Buccal Kits
Specimen required: 

3 mL whole blood, 2 mL for pediatrics


Patient preparation: 

Transfusion patients: Wait at least 2 weeks after a packed cell/platelet transfusion, and at least 4 weeks after a whole blood transfusion prior to blood draw for testing.



SPECIMEN PROCESSING
Processing instructions: 

Send whole blood


Transport temperature: 

Room Temperature


Specimen stability: 

Room temperature 7 days (Preferred). Refrigerated 7 days



TEST DETAILS
CPT code(s):  81479
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Our Pancreatitis panel includes next generation sequencing (NGS) of CPA1, CASRPRSS1, SPINK1, CTRC, and CFTR.  Genomic deoxyribonucleic acid (gDNA) is isolated from the patient’s specimen using a standardized kit and quantified. Sequence enrichment of the targeted coding exons and adjacent intronic nucleotides is carried out by a bait-capture methodology using long biotinylated oligonucleotide probes, followed by polymerase chain reaction (PCR) and next generation sequencing (NGS). Additional Sanger sequencing is performed for any regions missing, or with insufficient read depth coverage for reliable heterozygous variant detection. Potentially homozygous variants, variants in regions complicated by pseudogene interference, and variant calls not satisfying depth of coverage and variant allele frequency quality thresholds are verified by Sanger sequencing. This test targets detection of DNA sequence mutations in all coding domains, and well into the 5’ and 3’ ends of all the introns and untranslated regions.


Methodology: 
Next Generation Sequencing
Polymerase Chain Reaction (PCR)
Sanger Sequencing
Synonyms: 

Ambry test code 8022


Clinical significance: 

Pancreatitis is characterized by recurring inflammatory attacks that gradually cause irreversible damage to the pancreas and surrounding tissue. Risk factors range from environmental to genetic. Understanding genetic risk for pancreatitis can help alter lifestyle choices, plan appropriate management, and offer risk assessment in family members.


Doctoral Director(s): 
Randin Nelson MD
Review Date:  12/03/2025

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