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MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10

CPT4 code

Name of the Procedure:

MPL (MPL proto-oncogene, thrombopoietin receptor) Gene Analysis; Sequence Analysis, Exon 10

Summary

This genetic test analyzes exon 10 of the MPL gene to detect mutations associated with myeloproliferative disorders. It's a blood test that helps diagnose conditions where the bone marrow produces too many blood cells.

Purpose

The test is designed to identify genetic mutations in the MPL gene, which can cause myeloproliferative disorders. These disorders lead to the excessive production of blood cells, affecting normal blood function. The goal is to diagnose these conditions, allowing for accurate treatment planning.

Indications

  • Unexplained high levels of platelet count (thrombocytosis) or red blood cells (erythrocytosis)
  • Suspicion of myeloproliferative disorders such as essential thrombocythemia or primary myelofibrosis
  • Abnormal blood test results that suggest bone marrow issues

Preparation

  • No special preparations like fasting are usually required.
  • Inform your doctor about any medications you're taking.
  • A simple blood draw will be performed.

Procedure Description

  1. A healthcare professional will draw a blood sample from a vein, typically from your arm.
  2. The sample is sent to a specialized lab where DNA is extracted.
  3. The specific region (exon 10) of the MPL gene is amplified and sequenced to identify mutations.
  4. Results are analyzed and reported to your healthcare provider.

Duration

The blood draw takes about 5-10 minutes. Results are usually available within a few days to a couple of weeks, depending on the lab's workload.

Setting

Performed in a hospital, outpatient clinic, or specialized diagnostic lab.

Personnel

  • A phlebotomist or nurse to draw the blood sample
  • Geneticists and laboratory technicians for the analysis

Risks and Complications

  • Minimal risks associated with the blood draw, such as slight bruising or discomfort at the puncture site.
  • Rarely, infection or lightheadedness may occur.

Benefits

  • Provides a clear diagnosis for myeloproliferative disorders
  • Helps guide treatment decisions and patient management
  • May inform prognosis and potential disease progression

Recovery

  • No downtime required after the blood draw
  • Normal activities can be resumed immediately
  • Follow-up with your healthcare provider to discuss results

Alternatives

  • Other genetic tests for related conditions like JAK2 mutation analysis
  • Bone marrow biopsy for a more comprehensive assessment of bone marrow disorders
  • Regular blood tests and clinical evaluations

Patient Experience

  • You might feel a small prick during the blood draw.
  • Mild discomfort or bruising at the site, which resolves quickly.
  • Review of results with your healthcare provider to understand the next steps in your care.

Medical Policies and Guidelines for MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10

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