reimbursable for one of the following numbered criteria: 1) All of the following conditions: The patient has sarcoma diagnosed before 45 years of age, and A first-degree relative with any cancer before 45 years of age, and A first or second-degree relative with any cancer before 45 years of age, or a Continued sarcoma at any age; or 2) All of the following conditions: any A belonging to the Li-Fraumeni Yes provider, Syndrome (LFS) tumor spectrum (soft except with tissue sarcoma, osteosarcoma, valid TAR breast cancer, brain tumor, Continued from above override adrenocortical carcinoma, leukemia or lung bronchoalveolar cancer) before 46 81405 years of age, and Molecular Pathology At least one first or second-degree Procedure, Level 6 relative with an LFS tumor (except breast cancer if the patient has breast cancer) before 56 years of age or with multiple tumors; or 3) The patient has multiple tumors (except multiple breast tumors), two of belong to the LFS tumor spectrum, and the first occurred before 46 years of age; or 4) The patient is diagnosed with adrenocortical carcinoma or choroid plexus tumor. WT1 (Wilms tumor 1) full gene sequence – – The patient has suspected or confirmed acute myeloid leukemia, and the result of the test will
Continued from above 81405 Molecular Pathology Procedure, Level 6 Continued Yes reimbursable for one of the following numbered criteria: 1) All of the following conditions: The patient has sarcoma diagnosed before 45 years of age, and A first-degree relative with any cancer before 45 years of age, and A first or second-degree relative with any cancer before 45 years of age, or a sarcoma at any age; or 2) All of the following conditions: A belonging to the Li-Fraumeni Syndrome (LFS) tumor spectrum (soft tissue sarcoma, osteosarcoma, breast cancer, brain tumor, adrenocortical carcinoma, leukemia or lung bronchoalveolar cancer) before 46 years of age, and At least one first or second-degree relative with an LFS tumor (except breast cancer if the patient has breast cancer) before 56 years of age or with multiple tumors; or 3) The patient has multiple tumors (except multiple breast tumors), two of belong to the LFS tumor spectrum, and the first occurred before 46 years of age; or 4) The patient is diagnosed with adrenocortical carcinoma or choroid plexus tumor. WT1 (Wilms tumor 1) – full gene sequence – The patient has suspected or confirmed acute myeloid leukemia, and the result of the test will any provider, except with valid TAR override