TRAC Kidney dd cfDNA (Sendout)

General Information

Lab Name
TRAC Kidney dd cfDNA (Sendout)
Lab Code
RTRAC
Epic Name
TRAC Kidney dd cfDNA (Sendout)
External Test Id
30876
Description

Clinical Utility: The Eurofins TRAC® (Transplant Rejection Allograft Check) donor-derived cell-free DNA (dd-cfDNA) assay is designed to utilize a noninvasive liquid biopsy to monitor the percentage of dd-cfDNA in transplant recipient plasma post-transplant using next generation sequencing (NGS).

Ordering Requirements:

  • Pre-approved for outpatient renal clinic locations only. Orders from other locations must be reviewed and approved by the Laboratory Medicine Resident on-call.
  • Providers must complete the Epic order questions with the following required information:
    • Date of transplant
    • Parent/Child Relationship (Yes/No)
References
Synonyms
30876, dd-cfDNA, donor-derived cell-free DNA, TRAC, Transplant Rejection Allograft Check
Components

Interpretation

Method

NGS

Reference Range
See individual components
References

Ordering & Collection

Specimen Type
Blood
Collection

Collection Instructions:

  1. Refer to Eurofins TRAC Kidney Blood RNA Tube Specimen Collection Instructions.
  2. Use a butterfly collection needle. For best results, a 21G or 22G needle is suggested.
  3. Draw 10 mL whole blood in a Streck cell-free DNA BCT® collection tube (included in kit), filling the tube completely. If a kit is not provided, lab staff may use Streck tubes on hand.
  4. Gently invert tube 8-10 times to mix.
  5. Affix specimen label. Ensure that the labels do not obstruct the expiration date on the tube; it must be visible or the samples will be rejected.
Approval Required
Pre-approved for outpatient renal clinic locations only (UPOSKDN, RENALU, RENALH, TXCLIN). Orders from inpatient locations or from outpatient locations other than those listed must be reviewed and approved by the Laboratory Medicine Resident on-call.
Quantity
Requested: 10 mL whole blood in Streck cell-free DNA BCT® tube
Minimum: 10 mL whole blood in Streck cell-free DNA BCT® tube

Processing

Receiving Instructions

Maintain and transport whole blood at ambient temperature.

Sendouts:

  • Affix a Sunquest label to the Epic requisition (or Eurofins requisition, if included).
  • Package the sample at ambient temperature according to kit instructions.
  • Ship Monday - Friday via FedEx Priority Overnight. Samples sent on Friday must be marked for Saturday Delivery.

Reject Due To: Frozen whole blood, samples received >7 days after collection, specimen other than Streck Cell-Free DNA tube, patient identifiers on the collection tube do not match the requisition.

Whole blood in Streck cell-free DNA BCT® Tube, Stability: Ambient: 7 days; Refrigerated: Unacceptable; Frozen: Unacceptable.

Misc Sendout

Performance

Lab Department
Sendouts(SO)
Frequency
TAT: 4-6 days from sample receipt at Eurofins.
Available STAT?
No
Performing Location(s)
Sendout Eurofins Transplant Genomics, LLC
844-878-4723

18000 West 99th Street
Suite 100
Lenexa, KS 66219

Fax: 888-224-3499
Email: info@transplantgenomics.com

Billing & Coding

CPT Codes
00000
LOINC
30896-5
Billing Comments

Eurofins Viracor will bill patient insurance directly.