Uveal Melanoma
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 Test | Turnaround Time | Cost | CPT Codes |
|---|---|---|---|
| Uveal Melanoma: SNP-array analysis of Chromosomes 3, 6, and 8 | 6-8 weeks | $1,000 | 81406 |
Sample Requirements
Sample types accepted:
- Fine needle aspirate of ocular tumor collected in HBSS (Hanks Solution) before plaque therapy, stored at 4°C. and shipped on ice.
- 1 EDTA tube of blood (lavender top) containing 5mL of whole blood.
- For enucleated tumor: 5mg of frozen tumor, shipped on dry ice or 5 paraffin sections of 20-micron thickness placed in a plastic tube (not on glass slides).
- Label each collected sample with the patient’s name and date sample was obtained.
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