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NeoTYPE® Head & Neck Tumor Profile

  • Next Generation Sequencing (NGS)

The NeoTYPE Head & Neck Tumor Profile analyzes 34 biomarkers through a combination of next-generation sequencing (NGS), other molecular methods, FISH, and IHC as listed below. Test orders include summary interpretation of all results that 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 (27 genes + 2 biomarkers): AKT1, ATM, BRAF, CDKN2A, CTNNB1, EGFR, ERBB2, ERBB4, FBXW7, FGFR1, FGFR2, FGFR3, HRAS, IDH1, IDH2, KRAS, MET, Microsatellite Instability (MSI), NFE2L2, NOTCH1, NRAS, PIK3CA, PTEN, RB1, SMO, SRC, TERT Promoter, TP53, Tumor Mutation Burden (TMB) Other Methodology (1 biomarker): HPV RNA ISH 16/18 (High Risk) FISH (3 FISH): MET, PTEN, RET (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, 88377x3, 88360x1, 88342x1, 88365x1; add 81194x1 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
HRASIDH1IDH2KRASNRASNOTCH1
FBXW7NFE2L2RB1CDKN2ATERTAKT1
ATMFGFR2FGFR3CTNNB1EGFRERBB2
ERBB4TP53FGFR1METPIK3CAPTEN
SMOSRCBRAF
CNVs
METRETPTEN
Genomic Signatures
MSITMB
Immunohistochemistry (IHC)
Expression
PD-L1NTRK1NTRK2NTRK3
In Situ Hybridization (ISH)
Pathogen Detection
HPV 16/18

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.