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JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant

CPT4 code

Name of the Procedure:

JAK2 (Janus Kinase 2) Gene Analysis, p.Val617Phe (V617F) Variant

Summary

JAK2 gene analysis is a genetic test that looks for a specific mutation (V617F) in the JAK2 gene. This mutation is often found in patients with certain blood disorders known as myeloproliferative disorders.

Purpose

The primary goal of the JAK2 gene analysis is to diagnose myeloproliferative disorders, such as polycythemia vera, essential thrombocythemia, and primary myelofibrosis. Identifying the V617F mutation can help tailor treatment plans and predict the course of the disease.

Indications

  • Unexplained high red blood cell, white cell, or platelet counts
  • Symptoms such as fatigue, headaches, dizziness, or enlarged spleen
  • Suspected cases of myeloproliferative disorders

Preparation

  • No specific fasting or dietary restrictions required.
  • Inform your doctor about any medications you are taking.
  • A blood sample will be collected; hence, ensure you are hydrated.

Procedure Description

  1. Collection of a blood sample, typically from a vein in your arm.
  2. The blood sample is sent to a laboratory.
  3. DNA is extracted from the sample and analyzed for the presence of the V617F mutation in the JAK2 gene using specialized genetic testing techniques.

Duration

The blood collection takes approximately 5-10 minutes. Laboratory analysis can take several days to a week.

Setting

The blood sample is collected in an outpatient clinic, hospital, or diagnostic center. The genetic analysis is conducted in a specialized laboratory.

Personnel

  • Phlebotomist or nurse for blood sample collection
  • Geneticists and laboratory technicians for conducting the analysis
  • Hematologist or oncologist to interpret the results

Risks and Complications

  • Minor risks associated with blood draw, including bruising or slight bleeding at the puncture site
  • Very rare risk of infection

Benefits

  • Accurate diagnosis of myeloproliferative disorders
  • Tailored treatment plans and management strategies
  • Early detection and improved prognosis of the related conditions

Recovery

  • Minimal recovery time, typically immediate post blood draw
  • Follow any specific post-procedure instructions given by healthcare provider
  • Schedule a follow-up appointment to discuss the results with your doctor

Alternatives

  • Other hematologic tests like complete blood count (CBC)
  • Bone marrow biopsy in more complex cases
  • Genetic tests for other mutations associated with myeloproliferative disorders

Patient Experience

  • Slight discomfort or pain during blood draw
  • Generally, no pain during or after the genetic analysis
  • Results discussion may involve emotional aspects based on diagnosis; support from healthcare professionals is available

Medical Policies and Guidelines for JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant

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