Neo Comprehensive - Heme Cancers

  • Next Generation Sequencing (NGS)

The Neo Comprehensive – Heme Cancers assay analyzes 433 genes using next‑generation sequencing (NGS) to detect DNA and RNA alterations for diagnostic evaluation, prognosis, risk stratification, and therapy guidance in hematologic malignancies.

Test Customization:
FLT3 by PCR (via FLT3 Mutation Analysis) is available for concurrent testing as a Client‑Bill option. This result 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

DNA Sequencing
SNVs + Indels
ABL1ABL2AKT1AKT2AKT3ALK
ANKRD26APCARAFARHGEF1ARID1AARID1B
ARID2ASXL1ASXL2ATG2BATMATP2A2
ATRXAXLB2MBAP1BCL2BCL2L11
BCL6BCORBCORL1BCRBIRC3BLM
BRAFBRCA1BRCA2BRINP3BRIP1BTK
C17orf97CALRCARD11CBFBCBLCBLB
CBLCCCND1CCND2CCND3CD274CD33
CD79ACD79BCDC25CCDK2CDK4CDK6
CDKN1BCDKN2ACDKN2BCEBPACHEK2CIC
CIITACREBBPCRLF2CSF1RCSF3RCTC1
CTCFCTNNB1CUX1CXCR4CYLDDAXX
DCKDDX3XDDX41DIS3DKC1DNMT1
DNMT3AEBF1EEDEGFREGLN1EGR1
ELANEEP300EPCAMEPHA2EPHA7EPOR
ERBB2ERBB3ERCC4ETNK1ETV6EZH2
FANCAFANCBFANCCFANCD2FANCEFANCF
FANCGFANCIFANCLFANCMFASFAT1
FBXW7FGFR1FGFR2FGFR3FLT3FOXO1
FUBP1G6PC3GAB2GATA1GATA2GATA3
GFI1GNA12GNA13GNAI2GNAQGNAS
GNB1GSKIPH1-4HAX1HIF1AHNRNPK
HRASID3IDH1IDH2IGF1RIKBKB
IKZF1IKZF3IL7RIRAK4IRF4ITPKB
JAK1JAK2JAK3KDM6AKDRKEAP1
KITKLF2KLHL6KMT2AKMT2CKMT2D
KRASLUC7L2MALT1MAP2K1MAP3K1MAP3K14
MAPK1MCL1MDM2MDM4MED12MEF2B
METMLH1MPLMSH2MSH6MTOR
MYCMYCNMYD88NBNNCAPHNF1
NFKBIENHP2NOP10NOTCH1NOTCH2NOTCH3
NPM1NRASNSD1NT5C2NTRK1NTRK2
NTRK3NUP214NUP98P2RY8PALB2PAX5
PDCD1LG2PDGFRAPDGFRBPHF6PIGAPIK3CA
PIK3CDPIK3R1PIM1PLCG1PLCG2PML
PMS2POT1PPM1DPRDM1PRPF40BPRPF6
PRPF8PRPS1PTCH1PTENPTPN11PTPRC
RAC1RAD21RAD51CRAD51DRB1RBBP6
RELRHEBRHOARICTORRIPK1RIT1
RPL11RPL35ARPL5RPN1RPS10RPS15
RPS17RPS26RPS7RTEL1RUNX1S1PR2
SAMD9SAMD9LSAMHD1SBDSSETBP1SETD2
SF1SF3A1SF3B1SGK1SH2B3SLX4
SMAD4SMARCB1SMC1ASMC3SMOSOCS1
SPENSRP72SRSF2STAG2STAT3STAT5B
STAT6STK11SUZ12TBL1XR1TCF3TENT5C
TERCTERTTET2TET3THPOTINF2
TLR2TNFAIP3TNFRSF14TP53TP63TRAF2
TRAF3TSC1TSC2U2AF1U2AF2UBR5
VHLWASWRAP53WT1XPO1ZFHX4
ZMYM3ZRSR2
CNVs
ABL1ASXL1ATMBRAFCBLCD274
CDKN1BCDKN2ADNMT1EPORETV6EZH2
FLT3IKZF1JAK2KMT2AKRASMYC
PAX5RAD21RELTNFRSF14TP53XPO1
RNA Sequencing
Fusions
ABI1ABL1ABL2ACTN4ADAMTS17AFDN
AFF1AFF3AGGF1ALKARHGAP26ARHGEF12
ATF7IPATICATP2A1ATP5MGBCL11BBCL2
BCL6BCRBIN2BIRC3CALRCAPRIN1
CBFBCBLCCDC6CCDC88CCCND1CCND2
CCND3CDK6CEP43CEP85LCHD1CHIC2
CIITACNTRLCOL1A1CPSF6CREBBPCRLF2
CSF1RCXCR4DEKDTD1DUSP22EBF1
EIF4A1ELLEML1EP300EPOREPS15
ERC1ERGERVK3-1ETV6FGFR1FGFR1OP2
FIP1L1FLT3FNBP1FOXO4FOXP1FRYL
FUSGAS7GIT2GLIS2GOLGA4GPHN
HIP1HLFHNRNPA2B1IKZF1IKZF2IKZF3
JAK2KANK1KAT6AKLF2KMT2AKNL1
LAIR1LMNALRRFIP1MALT1MAML2MAP4
MECOMMEF2DMLF1MLLT1MLLT10MLLT11
MLLT3MLLT6MRTFAMYBMYCMYH11
MYO18AMYO1FNDE1NF1NFKB2NIN
NOTCH1NOTCH2NPM1NRIP1NTRK1NTRK2
NTRK3NUP214NUP98P2RY8PAG1PAX5
PBX1PCM1PDCD1LG2PDE4DIPPDGFRAPDGFRB
PICALMPLAG1PMLPRDM16PRDM9PRKG2
PTK2BPVT1RABEP1RARARBM15RBM6
RCSD1ROS1RPN1RUNX1RUNX1T1SART3
SEMA6ASEPTIN2SEPTIN3SEPTIN5SEPTIN6SEPTIN9
SETSETD2SNX2SPECC1SPTBN1SQSTM1
SSBP2STILSYNRGTACC1TAL1TBL1XR1
TCF3TERF2TET1TFGTLX1TLX3
TP53BP1TP63TPM3TPRTRIM24TRIP11
TYK2UBE2R2WDR48ZBTB16ZCCHC7ZEB2
ZMIZ1ZMYM2ZNF384ZNF703

Last Updated: March 02, 2026

Get in touch

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