Evaluation of tumor tissue to identify patients at high risk for having Lynch syndrome, also known as hereditary nonpolyposis colorectal cancer.

Evaluation of tumor tissue for clinical decision-making purposes given the prognostic and therapeutic implications associated with microsatellite instability phenotypes

Submit a formalin-fixed, paraffin-embedded tissue block with acceptable amount of tumor tissue.

Formalin-fixed, paraffin-embedded (FFPE) tissue block

1 stained and 5 unstained slides

Submit 1 slide stained with hematoxylin and eosin and 5 unstained, nonbaked slides with 5-micron thick sections of the tumor tissue.

Molecular Medicare billing request

Hospital clients submitting a request for this assay on an outpatient with Medicare should complete and submit a Molecular Medicare billing request form to notify us of the need for Allina Health Laboratory to bill insurance.

Molecular Genetics: Inherited Cancer Syndromes Patient Information

• Complete and submit the form 
• All information requested is required in order for your request to be completed

Ambient

• Decalcified specimens
• Low tumor percentage
• Insufficient amount of tumor
• Nonformalin-fixed
• Fresh tissue
• Cytology smears

Polymerase Chain Reaction (PCR)

Medical necessity

Hospital clients submitting a request for this assay on an outpatient with Medicare should complete and submit a Molecular Medicare billing request form to notify us of the need for Allina Health Laboratory to bill insurance.

Molecular Medicare billing request