NeoTYPE® Breast Tumor Profile

  • Next Generation Sequencing (NGS)

The NeoTYPE Breast Tumor Profile characterizes primary or metastatic breast tumors of any histological subtype for the most significant genetic changes relevant to therapy decisions, prognosis, and clinical research. The NeoTYPE Breast Tumor Profile analyzes 60 biomarkers through a combination of next-generation sequencing (NGS), FISH, and IHC as listed below. Test orders include summary interpretation of all results to help guide treatment decisions.

If Pan-TRK IHC is expressed or equivocal, reflex to either NTRK NGS Fusion Panel (Default) or NTRK 1-3 FISH Panel will be added. A microsatellite instability (MSI) NGS result of "indeterminate" will create a reflex to MSI by PCR as long as the tumor percentage is ≥40% and paired normal tissue is available.

NGS (54 genes + 2 biomarkers):
AKT1, ARID1A, ATM, ATR, BARD1, BRAF, BRCA1, BRCA2, BRIP1, CDH1, CDK12, CHEK1, CHEK2, CTNNB1, EGFR, ESR1, ERBB2, ERBB4, FANCA, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCL, FGFR1, FGFR2, FGFR3, GATA3, HRAS, KIT, KRAS, MET, Microsatellite Instability (MSI), MLH1, MRE11A (MRE11), MSH2, MSH6, NBN, NRAS, PALB2, PIK3CA, PMS2, PTEN, RAD50, RAD51, RAD51B, RAD51C, RAD51D, RAD54L, SMAD4, SMO, SRC, TERT Promoter, TP53, Tumor Mutation Burden (TMB)

FISH (2 FISH):
MET, PTEN (tech-only available)

IHC (2 biomarkers):
PD-L1 22C3, Pan-TRK (tech-only available for PD-L1).

Turnaround time
14 Days

NGS: 14 Days
FISH: 7 Days
IHC: Global: 2 Days
          Tech-Only (stain
          only): 24 Hours
Potential Reflex Testing (Additional Time):
MSI by PCR: 5 Days
NTRK 1-3 FISH: 5 Days
NTRK NGS: 1-3 Days

Level of Service

  • Global
New York Approved: Yes

Specimen Requirements

FFPE tissue: Paraffin block preferred. Please use 10% buffered formalin fixative. Do not use zinc fixatives.

Storage and Transportation

Use cold pack for transport, making sure cold pack is not in direct contact with specimen. NYS clients please provide date and time of Collection.

CPT Code(s)*

81457x1, 88377x2, 88360x1, 88342x1; add 81479x1 if reflexed to NTRK NGS Fusion Panel (default) or 88374x3 automated (88377x3 manual) if reflexed to NTRK 1-3 FISH Panel

*The CPT codes provided with our test descriptions are based on AMA guidelines and are for informational purposes only. Correct CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed.

Biomarkers

DNA Sequencing
SNVs + Indels
HRASKITKRASNRASBRCA2BRIP1
PALB2RAD51CBRAFPTENTERTAKT1
ARID1AATMATRFGFR2FGFR3CDH1
BRCA1CHEK1CHEK2BARD1EGFRERBB2
CDK12ESR1FANCACTNNB1FANCD2FANCE
FANCCFANCGFANCLERBB4GATA3MET
SMOMLH1MRE11FANCFMSH6NBN
FGFR1PMS2MSH2RAD50RAD51PIK3CA
RAD51DRAD54LRAD51BTP53SRCSMAD4
Genomic Signatures
MSITMB
CNVs
METPTEN
Immunohistochemistry (IHC)
Expression
PD-L1NTRK1NTRK2NTRK3

Last Updated: January 28, 2026

Get in touch

Our Client Services team is on hand to help. Please call us at 866.776.5907, Option 3.