Panel on Demand
General Information
Lab Name
Exome Subpanel Test
Lab Code
EXPNL
Epic Name
Exome Subpanel Test
Description
A targeted bioinformatic masking process is applied to next generation sequencing data to limit analysis to a defined set of genes. Panel-on-Demand for ordering a custom set of genes is available, as well as predefined gene panels. The test includes deletion/duplication (del/dup) analysis for all genes in the selected panel. These options allow for either efficient ordering of predefined panels or gene sets customized for a wide range of clinical indications; both approaches offer panel testing while supporting future broader testing options without the need for resequencing.
We offer several options for Panel-on-Demand based on the number of genes that will be tested.
- Hyper Panel on Demand (201-500 genes)
- Super Panel on Demand (101-200 genes)
- Mega Panel on Demand (11-100 genes)
- Micro Panel on Demand (2-10 genes)
- Single Gene Sequencing
Use the web tool at Exome Panel-on-Demand Generator to generate a 6-character code for a custom panel.
Predefined panels are also ordered using the EXPNL test code. For an overview of predefined gene panels, please see EXPNL Predefined Panels Guideline.
Our predefined gene panels include:
The Comprehensive Cardiac Panel - Cardiomyopathy indication is appropriate when a hereditary cause is suspected for a diagnosis of cardiomyopathy, such as Hypertrophic Cardiomyopathy, Dilated Cardiomyopathy, or Arrhythmogenic Cardiomyopathy, whether an isolated finding or presenting as part of a syndrome, such as in Noonan syndrome, muscular dystrophies, or metabolic storage diseases.
The Comprehensive Cardiac Panel - Arrhythmia indication is appropriate when a hereditary cause is suspected for a diagnosis of arrhythmia, such as Brugada syndrome, Long QT syndrome, Short QT syndrome, Catecholaminergic Polymorphic Ventricular Tachycardia, or Arrhythmogenic Cardiomyopathy.
The Pulmonary Arterial Hypertension (PAH) Panel is appropriate when a hereditary cause is suspected for a diagnosis of pulmonary arterial hypertension, such as familial PAH, isolated PAH, pediatric pulmonary hypertension, PAH associated hereditary hemorrhagic telangiectasia (HHT), pulmonary veno-occlusive disease (PVOD).
Synonyms
ABCC8, ABCC9, ACM, ACTC1, ACTN2, ACVRL1, AKAP9, ALPK3, ANK2, ANKRD1, AQP1, arrhythmia, arrhythmogenic cardiomyopathy, ATP13A3, BAG3, BMP10, BMPR2, BRAF, Brugada, CACNA1C, CACNA1D, CACNB2, CALM1, CALM2, CALM3, cardiomyopathy, CASQ2, CAV1, CAV3, CAVIN4, CBL, CDH2, channelopathies, channelopathy, CHRM2, Comprehensive Cardiac Panel, CPVT, CRYAB, CSRP3, custom panel, DCM, DES, DMD, DOLK, DSC2, DSG2, DSP, DTNA, EIF2AK4, EMD, ENG, Exome panel, EXPNL, FBLN2, FHL1, FHL2, FKTN, FLNC, GAA, GATAD1, GDF2, GGCX, GJA5, GLA, GPD1L, HCM, HCN4, HRAS, ILK, JPH2, JUP, KCNA5, KCND3, KCNE1, KCNE2, KCNE3, KCNH2, KCNJ2, KCNJ5, KCNJ8, KCNK3, KCNQ1, KDR, KLF2, KLHL24, KLK1, KRAS, LAMA4, LAMP2, LDB3, LMNA, LQTS, LZTR1, MAP2K1, MAP2K2, MRAS, MYBPC3, MYH6, MYH7, MYL2, MYL3, MYLK2, MYOZ2, MYPN, NEBL, NEXN, NKX2-5, NPPA, NRAS, PAH, panel on demand, PDGFD, PDLIM3, PKP2, PLN, PPA2, PRDM16, PRKAG2, PTPN11, Pulmonary Arterial Hypertension, RAF1, RBM20, RIT1, RYR2, SCN1B, SCN2B, SCN3B, SCN4B, SCN5A, SGCD, SHOC2, SLC4A3, SMAD9, SNTA1, SOS1, SOX17, TAFAZZIN, TBX20, TBX4, TCAP, TECRL, TET2, TMEM43, TNNC1, TNNI3, TNNT2, TPM1, TRDN, TRIM63, TRPM4, TTN, TTR, VCL
Components
| Code | Name |
|---|---|
| EXPRES | Exome Subpanel Result |
Interpretation
Method
Genome sequencing; analysis of protein-coding genes includes coding exons with 50 bp flanking regions on each side.
Reference Range
See individual componentsGuidelines
Ordering & Collection
Specimen Type
Collection
Acceptable:
- Whole blood: 5 mL lavender top (EDTA) tube or yellow (ACD) top tube or 2 mL microtainer lavender top tube.
- Extracted DNA from blood, chorionic villi, and amniocytes: 750 ng (concentration >10 ng/uL).
- Cultured amniocytes/chorionic villi: MCC is required for testing fetal samples. See Maternal Cell Contamination, Fetal [MCC].
- Saliva (collected from Oragene Dx OCD-100 cheek swabs, Oragene Dx OGD-500, or Oragene Dx OGD-575 assisted collection). Please contact the Genetics laboratory at 206-598-1149 to request a kit.
Unacceptable: Heparin green top tubes
Forms & Requisitions
Handling Instructions
SPS specimen handling:
Whole blood sample: store in the refrigerator
Cultured amniocytes/chorionic villi: store at room temperature. Call the Genetics lab upon receipt (206)598-7021.
Extracted DNA: store in the refrigerator
Saliva: store at room temperature
Any other samples contact the Genetics Lab.
Quantity
requested: Entire sample
minimum: Blood: 1 mL. If volume is less than 1mL, do not cancel. Send to Genetics lab. Confluent cultured cells: One (1) T25 flask. Extracted DNA: 750 ng
Processing
UW SPS: Log and forward to Genetics.
NWH, Fred Hutch, all other SPS: Send to UW SPS
SPS specimen handling:
Whole blood sample: store in the refrigerator
Note: Please include clinical history.
Performance
LIS Dept Code
Genetics (GEN)
Performing Location(s)
| UW-MT |
Genetics
Attention: Genetics Lab Tel: 206-598–6429 M–F (7:30 AM–4:00 PM) Tel (EXOME only): 206-543-0459 |
Faculty |
|---|
Frequency
Results in 4-6 weeks.
Available STAT?
Billing & Coding
CPT codes
Billing Comments
We offer full insurance pre-authorization services along with genetic counseling services.
LOINC
Interfaced Order Code
UOW5873