Familial Adenomatous Polyposis (FAP)

Forms

*Please open the forms in Adobe Acrobat before printing.


Billing Information and Turnaround Time

Name of Test Turnaround Time Cost CPT Codes
Familial Adenomatous Polyposis (FAP): APC gene Full Sequencing 6 weeks $1,410 81201
FAP: MYH Full Sequencing 6 weeks $660 81406
FAP: APC or MYH Familial Mutation 2-3 weeks $360 81202 for APC known mutation
81403 for MYH known mutation
FAP: APC or MYH Prenatal Diagnosis of Known Familial Mutation 7-10 days $460* 81202, 81265 for APC prenatal
81403, 81265 for MYH prenatal
*All prenatal tests include MCC studies

Sample Requirements

  • We require 2 EDTA tubes (lavender top) of blood - approximately 4 mL per tube
  • For a newborn sample, obtain 2 EDTA tube (lavender top) of blood - approximately 1-2 mL per tube
  • Label each tube with the patient’s name, date sample was obtained, and patient’s date of birth
  • We accept banked or recently extracted DNA; please include the concentration. Please call the laboratory to inquire about the amount needed for testing.

Please see our prenatal section for information on prenatal requirements.

Shipping Instructions

Shipping Sample: Ship at room temperature via Federal Express or other overnight courier that guarantees AM delivery to arrive Monday-Friday. There is no one in the laboratory evenings and weekends to receive samples. If sample is drawn on a Friday, please refrigerate it until shipment on the following business day.

Shipping Address:
Genetic Diagnostic Laboratory
University of Pennsylvania
415 Anatomy–Chemistry Building
3620 Hamilton Walk
Philadelphia, PA 19104

Additional Information

OMIM

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