Neo Comprehensive - Heme Cancers

  • Next Generation Sequencing (NGS)

The Neo Comprehensive- Heme Cancers assay analyzes 433 genes to detect DNA and RNA alterations through NGS for the purpose of diagnostic evaluation, prognosis, risk stratification, and therapy guidance of hematologic malignancies.

DNA NGS (SNV/Indel):
ABL1, ABL2, AKT1, AKT2, AKT3, ALK, ANKRD26, APC, ARAF, ARHGEF1, ARID1A, ARID1B, ARID2, ASXL1, ASXL2, ATG2B, ATM, ATP2A2, ATRX, AXL, B2M, BAP1, BCL2, BCL2L11, BCL6, BCOR, BCORL1, BCR, BIRC3, BLM, BRAF, BRCA1, BRCA2, BRINP3, BRIP1, BTK, C17orf97, CALR, CARD11, CBFB, CBL, CBLB, CBLC, CCND1, CCND2, CCND3, CD274, CD33, CD79A, CD79B, CDC25C, CDK2, CDK4, CDK6, CDKN1B, CDKN2A, CDKN2B, CEBPA, CHEK2, CIC, CIITA, CREBBP, CRLF2, CSF1R, CSF3R, CTC1, CTCF, CTNNB1, CUX1, CXCR4, CYLD, DAXX, DCK, DDX3X, DDX41, DIS3, DKC1, DNMT1, DNMT3A, EBF1, EED, EGFR, EGLN1, EGR1, ELANE, EP300, EPCAM, EPHA2, EPHA7, EPOR, ERBB2, ERBB3, ERCC4, ETNK1, ETV6, EZH2, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, FAS, FAT1, FBXW7, FGFR1, FGFR2, FGFR3, FLT3, FOXO1, FUBP1, G6PC3, GAB2, GATA1, GATA2, GATA3, GFI1, GNA12, GNA13, GNAI2, GNAQ, GNAS, GNB1, GSKIP, H1-4, HAX1, HIF1A, HNRNPK, HRAS, ID3, IDH1, IDH2, IGF1R, IKBKB, IKZF1, IKZF3, IL7R, IRAK4, IRF4, ITPKB, JAK1, JAK2, JAK3, KDM6A, KDR, KEAP1, KIT, KLF2, KLHL6, KMT2A, KMT2C, KMT2D, KRAS, LUC7L2, MALT1, MAP2K1, MAP3K1, MAP3K14, MAPK1, MCL1, MDM2, MDM4, MED12, MEF2B, MET, MLH1, MPL, MSH2, MSH6, MTOR, MYC, MYCN, MYD88, NBN, NCAPH, NF1, NFKBIE, NHP2, NOP10, NOTCH1, NOTCH2, NOTCH3, NPM1, NRAS, NSD1, NT5C2, NTRK1, NTRK2, NTRK3, NUP214, NUP98, P2RY8, PALB2, PAX5, PDCD1LG2, PDGFRA, PDGFRB, PHF6, PIGA, PIK3CA, PIK3CD, PIK3R1, PIM1, PLCG1, PLCG2, PML, PMS2, POT1, PPM1D, PRDM1, PRPF40B, PRPF6, PRPF8, PRPS1, PTCH1, PTEN, PTPN11, PTPRC, RAC1, RAD21, RAD51C, RAD51D, RB1, RBBP6, REL, RHEB, RHOA, RICTOR, RIPK1, RIT1, RPL11, RPL35A, RPL5, RPN1, RPS10, RPS15, RPS17, RPS26, RPS7, RTEL1, RUNX1, S1PR2, SAMD9, SAMD9L, SAMHD1, SBDS, SETBP1, SETD2, SF1, SF3A1, SF3B1, SGK1, SH2B3, SLX4, SMAD4, SMARCB1, SMC1A, SMC3, SMO, SOCS1, SPEN, SRP72, SRSF2, STAG2, STAT3, STAT5B, STAT6, STK11, SUZ12, TBL1XR1, TCF3, TENT5C, TERC, TERT, TET2, TET3, THPO, TINF2, TLR2, TNFAIP3, TNFRSF14, TP53, TP63, TRAF2, TRAF3, TSC1, TSC2, U2AF1, U2AF2, UBR5, VHL, WAS, WRAP53, WT1, XPO1, ZFHX4, ZMYM3, ZRSR2

DNA NGS (CNV):
ABL1, ASXL1, ATM, BRAF, CBL, CD274, CDKN1B, CDKN2A, DNMT1, EPOR, ETV6, EZH2, FLT3, IKZF1, JAK2, KMT2A, KRAS, MYC, PAX5, RAD21, REL, TNFRSF14, TP53, XPO1

RNA NGS (Fusion):
ABI1, ABL1, ABL2, ACTN4, ADAMTS17, AFDN, AFF1, AFF3, AGGF1, ALK, ARHGAP26, ARHGEF12, ATF7IP, ATIC, ATP2A1, ATP5MG, BCL11B, BCL2, BCL6, BCR, BIN2, BIRC3, CALR, CAPRIN1, KNL1, CBFB, CBL, CCDC6, CCDC88C, CCND1, CCND2, CCND3, CDK6, CEP43, CEP85L, CHD1, CHIC2, CIITA, CNTRL, COL1A1, CPSF6, CREBBP, CRLF2, CSF1R, CXCR4, DEK, DTD1, DUSP22, EBF1, EIF4A1, ELL, EML1, EP300, EPOR, EPS15, ERC1, ERG, ERVK3, ETV6, FGFR1, FGFR1OP2, FIP1L1, FLT3, FNBP1, FOXO4, FOXP1, FRYL, FUS, GAS7, GIT2, GLIS2, GOLGA4, GPHN, HIP1, HLF, HNRNPA2B1, IKZF1, IKZF2, IKZF3, JAK2, KANK1, KAT6A, KLF2, KMT2A, LAIR1, LMNA, LRRFIP1, MALT1, MAML2, MAP4, MECOM, MEF2D, MRTFA, MLF1, MLLT1, MLLT10, MLLT11, MLLT3, MLLT6, MYB, MYC, MYH11, MYO18A, MYO1F, NDE1, NF1, NFKB2, NIN, NOTCH1, NOTCH2, NPM1, NRIP1, NTRK1, NTRK2, NTRK3, NUP214, NUP98, P2RY8, PAG1, PAX5, PBX1, PCM1, PDCD1LG2, PDE4DIP, PDGFRA, PDGFRB, PICALM, PLAG1, PML, PRDM16, PRDM9, PRKG2, PTK2B, PVT1, RABEP1, RARA, RBM15, RBM6, RCSD1, ROS1, RPN1, RUNX1, RUNX1T1, SART3, SEMA6A, SEPTIN2, SEPTIN3, SEPTIN5, SEPTIN6, SEPTIN9, SEPTIN12, SETD2, SNX2, SPECC1, SPTBN1, SQSTM1, SSBP2, STIL, SYNRG, TACC1, TAL1, TBL1XR1, TCF3, TERF2, TET1, TFG, TLX1, TLX3, TP53BP1, TP63, TPM3, TPR, TRIM24, TRIP11, TYK2, UBE2R2, WDR48, ZBTB16, ZCCHC7, ZEB2, ZMIZ1, ZMYM2, ZNF384, ZNF703

Test Customization: FLT3 by PCR (via FLT3 Mutation Analysis) is available for concurrent testing as a Client-Bill option. It is reported separately to support prompt therapy selection in newly diagnosed AML cases.

Turnaround time
14 Days

Level of Service

  • Global
New York Approved: Yes

Clinical Significance

The Neo Comprehensive - Heme Cancers profile is a DNA + RNA panel that detects known mutations, CNVs and RNA fusions associated with most forms of hematologic malignant disorders, such as acute myeloid leukemia (AML), myeloproliferative neoplasms (MPN), myelodysplastic syndromes (MDS), chronic myelogenous leukemia (CML), angioimmunoblastic T-cell lymphoma (AITL)/peripheral T-cell lymphoma (PTCL), acute lymphoblastic leukemia (ALL), chronic lymphocytic leukemia (CLL), T/NK-large granular lymphocytic leukemia, among others.

Testing using this panel can provide key diagnostic information, including critical molecular determinations affecting therapeutic approaches, can aid in risk stratification and predicting prognosis, and can also be used in clinical research.

Specimen Requirements

Bone Marrow Aspirate: 2-3 mL in EDTA tube.
Peripheral Blood: 3-5 mL in EDTA tube.
H&E slide: Required, plus paraffin block.
Cut Slides: H&E slide (required) plus 10-14 unstained slides cut at 5+ microns.
Note on FFPE: Paraffin block is preferred. Do not use zinc fixatives. If submitting slides, please use positively-charged slides and 10% NBF fixative. Block and slide identifiers should be clearly written and match exactly with the specimen ID and specimen labeling as noted on the requisition.
Do not use: Mercury fixatives (B5). Highly acidic or prolonged decalcification processes will not yield sufficient nucleic acid to accurately perform molecular studies.
Note: Test is TNA-based. Please select Extract & Hold - TNA if specimen hold service is desired.

Storage and Transportation

Use cold pack for transport, making sure cold pack is not in direct contact with specimen. Ship same day as drawn whenever possible. NYS clients please provide date and time of collection. Please select Extract & Hold - TNA if specimen hold service is desired.

CPT Code(s)*

81455

*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

RNA Sequencing
Fusions
ABL1ABL2BCRCRLF2CSF1REPOR
ETV6FGFR1FLT3IKZF1JAK2KMT2A
MEF2DMLLT10NTRK1NTRK2NTRK3NUP98
PAX5PBX1PDGFRAPDGFRBPTK2BRUNX1
TAL1TCF3TLX1TLX3TYK2ZNF384
ALKFUSMAML2MYBROS1TFG
NOTCH1NOTCH2MYH11TP53BP1AFDNAFF1
AFF3ATICBCL2CCDC6CCND1CCND2
CCND3CDK6CIITACOL1A1CREBBPELL
EPS15ERGFOXP1GLIS2HIP1HNRNPA2B1
KAT6AKNL1LMNAMLLT1MLLT11MLLT3
MYCNPM1NUP214PCM1PLAG1PML
RARARUNX1T1SEPTIN6SEPTIN9SETSTIL
TBL1XR1TP63TPM3TPRTRIM24ABI1
ACTN4ADAMTS17AGGF1ARHGAP26ARHGEF12ATF7IP
ATP2A1ATP5MGBCL11BBCL6BIN2BIRC3
CALRCAPRIN1CBFBCBLCCDC88CCEP43
CEP85LCHD1CHIC2CNTRLCPSF6CXCR4
DEKDTD1DUSP22EBF1EIF4A1EML1
EP300ERC1ERVK3-1FGFR1OP2FIP1L1FNBP1
FOXO4FRYLGAS7GIT2GOLGA4GPHN
HLFIKZF2IKZF3KANK1KLF2LAIR1
LRRFIP1MALT1MAP4MECOMMLF1MLLT6
MRTFAMYO18AMYO1FNDE1NF1NFKB2
NINNRIP1P2RY8PAG1PDCD1LG2PDE4DIP
PICALMPRDM16PRDM9PRKG2PVT1RABEP1
RBM15RBM6RCSD1RPN1SART3SEMA6A
SEPTIN2SEPTIN3SEPTIN5SETD2SNX2SPECC1
SPTBN1SQSTM1SSBP2SYNRGTACC1TERF2
TET1TRIP11UBE2R2WDR48ZBTB16ZCCHC7
ZEB2ZMIZ1ZMYM2ZNF703
DNA Sequencing
SNVs + Indels
ABL1ABL2CDKN2ACRLF2CSF1REPOR
FGFR2FGFR3FLT3IKZF1IL7RJAK1
JAK2JAK3NTRK1NTRK2NTRK3PDGFRA
PDGFRBSH2B3TP53ASXL1BCORBRAF
CEBPACSF3RDNMT3AETV6EZH2HRAS
IDH1IDH2KITKMT2AKRASNPM1
NRASPHF6PMLPTPN11RUNX1SETBP1
SF3B1SRSF2STAG2TET2U2AF1WT1
ZRSR2BRCA2BRIP1CTC1DDX41DKC1
ELANEERCC4G6PC3GFI1HAX1NHP2
NOP10PALB2RAD51CRPL11RPL35ARPL5
RPS10RPS17RPS26RPS7SLX4SRP72
TERCTERTTHPOTINF2WASWRAP53
AKT1ARID1AATMBRCA1CHEK2CTNNB1
EGFRERBB2FANCAFANCCFANCD2FANCE
FANCFFANCGFANCLFGFR1GATA3MET
MLH1MSH2MSH6NBNPIK3CAPMS2
PTENRAD51DSMAD4SMOAPCBAP1
BCL2BIRC3BTKCARD11CD79BCXCR4
MYD88NOTCH1PLCG2EPCAMFBXW7STK11
ATRXAKT2AKT3ALKARAFARID1B
ARID2AXLBCL6BCORL1BLMCBFB
CBLCCND1CCND2CCND3CD274CD79A
CDK4CDK6CDKN1BCDKN2BCICCREBBP
CTCFCYLDDAXXEP300EPHA7ERBB3
TENT5CFASFAT1FUBP1GATA1GATA2
GNA13GNAQGNASIGF1RIRF4KDM6A
KDRKEAP1KLHL6KMT2CKMT2DMAP2K1
MAP3K1MCL1MDM2MDM4MED12MEF2B
MPLMTORMYCMYCNNF1NOTCH2
NOTCH3NSD1PAX5PDCD1LG2PIK3R1PRDM1
PTCH1RAC1RB1RICTORSETD2SMARCB1
SOCS1SPENSTAT3TNFAIP3TNFRSF14TSC1
TSC2VHLXPO1EEDSUZ12STAT6
ANKRD26ASXL2B2MBCL2L11BCRCALR
CUX1DIS3DNMT1FANCIC17orf97FOXO1
HNRNPKID3MALT1MAP3K14MAPK1PIK3CD
PIM1PPM1DRAD21RELRHEBRHOA
RIT1SMC1ASMC3STAT5BTCF3TP63
TRAF2ARHGEF1ATG2BATP2A2BRINP3CBLB
CBLCCD33CDC25CCDK2CIITADCK
DDX3XEBF1EGLN1EGR1EPHA2ETNK1
FANCBFANCMGAB2GNA12GNAI2GNB1
GSKIPH1-4HIF1AIKBKBIKZF3IRAK4
ITPKBKLF2LUC7L2NCAPHNFKBIENT5C2
NUP214NUP98P2RY8PIGAPLCG1POT1
PRPF40BPRPF6PRPF8PRPS1PTPRCRBBP6
RIPK1RPN1RPS15RTEL1S1PR2SAMD9
SAMD9LSAMHD1SBDSSF1SF3A1SGK1
TBL1XR1TET3TLR2TRAF3U2AF2UBR5
ZFHX4ZMYM3
CNVs
CDKN2AIKZF1TP53ATMJAK2KRAS
ABL1ASXL1CBLCD274CDKN1BDNMT1
ETV6EZH2FLT3KMT2APAX5RAD21
RELTNFRSF14XPO1
Fluorescence In Situ Hybridization (FISH)
CNVs
EPOR
Structural Rearrangement(s)
BRAF
Amplification(s)
MYC

Last Updated: January 12, 2026

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