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prothrombin gene mutation
Synonyms: Factor 2 Mutation, thrombophilia; Factor 2 DNA Mutation Analysis; Factor II 
Computer Code: PROTHR
Specimen Collection: 2-4 mL blood (lavender top tube). Consent required. 
Minimum Volume: 0.3 mL 
Handling Instructions for Offsite Areas: Maintain at room temperature. See Test Requisitions 9 & 11. 
Reference Values: No Mutation. Requires informed consent.  
Lab Code: MIC 
Requisition: MOL DIAG
Test Frequency: Weekly 
Routine TAT: 10-14 days 
Stat TAT: NA 
CPT Code(s): 81240 
LCD or NCD:  
Methodology Used: 31,78
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 11/22/2014
Time: 05:24:28 (24hr)