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REQUISITION FORM - Interpace Diagnostics

REQUISITION FORM - Interpace Diagnostics 2025

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The document is a requisition form for Interpace Diagnostics, used to collect patient and billing information for thyroid testing. It includes sections for patient details, ordering physician information, test selection, specimen details, clinical history, and authorization for billing. The form outlines required fields and provides options for various thyroid tests, emphasizing the necessity of including ICD codes for testing.

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2015	4.8 Satisfied (60 Votes)

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What is a pathology requisition form?

Pathology requisition forms are used by physicians to test organ, tissue and bodily fluid samples for disease diagnosis. Other samples collected include blood, oral fluid, , cervical fluid, pleural fluid, pericardial fluid and ascetic fluid.

What is ThyraMIR testing?

A third test is ThyGeNEXT/ThyraMIR which uses a combination of two tests. The first test uses a mutation panel. If no mutation is found, another test is performed looking for micro-RNA (miRNA) markers. MicroRNAs are short single-stranded non-coding RNA segments and abnormal expression has been found in thyroid cancers.

What is ThyraMir?

ThyraMir is the first microRNA gene-expression classifier. MicroRNAs are small, noncoding RNAs that bind to messenger RNA and regulate the expression of genes involved in human cancers, including every subtype of thyroid cancer. ThyraMir measures the expression of 10 microRNAs.

What percentage of thyroid nodule biopsies are cancer?

Molecular markers can be used in thyroid biopsy specimens to either to diagnose cancer or to determine that the nodule is benign. Afirma Gene Expression Classifier: a test for a group of molecular markers in thyroid biopsy specimens in order to determine the likelihood that a thyroid nodule is benign or cancerous.