Hemophilia A and B

Forms

*Please open the forms in Adobe Acrobat before printing.

Billing Information and Turnaround Time

*Reflex testing options: Maximum cost is listed, although our lab only bills for the services performed. Final charge may be less than listed price, but cannot be determined until the testing has been completed.

Name of TestTurnaround TimeCostCPT Codes
Hem A (F8): Inversion analysis3-4 weeks36081403
HemA (F8): Sequence analysis4-6 weeks135081407
Hem A (F8): Deletion/Duplication analysis2-3 weeks75081406
Hem A (F8): Site specific analysis (familial)2-3 weeks36081403
Hem A (F8) Site specific analysis [Inversion, Seq. or del/dup]
(Prenatal)
7-10 days46081403, 81265
Hem A (F8) Site specific analysis [Inversion, Seq. or del/dup]
(Prenatal)
7-10 days460
Hem A (F8): Linkage Analysis3-4 weeks74081479
Name of TestTurnaround TimeCostCPT Codes
Hem  B (F9): Sequence analysis4-6 weeks$84081405
Hem B (F9): Deletion/Duplication analysis2-3 weeks$75081479
Hem  B: Promoter Analysis only for Factor IX Leyden3-4 weeks$36081404
Hem  B (F9): Site specific analysis (familial)2-3 weeks$36081403
Hem  B (F9): Site specific analysis [Seq. or del/dup] prenatal7-10 days$460*81403, 81265

*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
Room 560 Clinical Research Building
415 Curie Boulevard
Philadelphia, PA 19104

Additional Information

  • Hemophilia A – OMIM
  • Hemophilia B – OMIM
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