The NeoTYPE Lung Tumor Profile analyzes 54 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 to help guide treatment decisions. If global HER2 (Other) IHC w/Breast Scoring result is 2+, case will reflex to global HER2 (Other) FISH w/Breast Scoring unless reflex to tech-only FISH or reflex opt-out is requested. 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 (40 genes + 2 biomarkers): AKT1, ALK, ARID1A, ATM, ATR, ATRX, BRAF, CCND1, CDKN2A, CDKN2B, EGFR, ERBB2, ERBB4, FBXW7, FGFR1, FGFR2, FGFR3, KEAP1, KIT, KMT2D, KRAS (includes G12C mutation), MET, Microsatellite Instability (MSI), NF1, NFE2L2, NOTCH1, NRAS, PDGFRA, PIK3CA, PTEN, RB1, RBM10, RET, ROS1, SMARCA4, SMAD4, SMO, SRC, STK11, TERT Promoter, TP53, Tumor Mutation Burden (TMB) Other Molecular (1 biomarker): MET Exon 14 Deletion Analysis FISH (5 biomarkers): ALK, MET, PTEN, RET, ROS1 (tech-only available) IHC (3 biomarkers): HER2 (Other) IHC w/Breast Scoring, PD-L1 22C3, Pan-TRK (tech-only available for HER2 and PD-L1).
NeoTYPE® Lung Tumor Profile
- Next Generation Sequencing (NGS)
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.
CPT Code(s)*
81457x1, 88377x5, 88360x2, 88342x1; add 88374x1 if HER2 IHC is reflexed to FISH; add 81479x1 if reflexed to NTRK NGS Fusion Panel (default) or 88374x3 automated (88377x3 manual) if reflexed to NTRK 1-3 FISH Panel
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
HER2 FISH: 5 Days
NTRK 1-3 FISH: 5 Days
NTRK NGS: 1-3 Days
Level of Service
- Global
Integrations
Request electronic integrations →
New York Approved: No
*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 | |||||
|---|---|---|---|---|---|
| AKT1 | ALK | ARID1A | ATM | ATR | ATRX |
| BRAF | CCND1 | CDKN2A | CDKN2B | EGFR | ERBB2 |
| ERBB4 | FBXW7 | FGFR1 | FGFR2 | FGFR3 | KEAP1 |
| KIT | KMT2D | KRAS | MET | NF1 | NFE2L2 |
| NOTCH1 | NRAS | PDGFRA | PIK3CA | PTEN | RB1 |
| RBM10 | RET | ROS1 | SMAD4 | SMARCA4 | SMO |
| SRC | STK11 | TERT | TP53 | ||
| Genomic Signatures | |||||
|---|---|---|---|---|---|
| MSI | TMB | ||||
Immunohistochemistry (IHC)
| Expression | |||||
|---|---|---|---|---|---|
| HER2 | NTRK1 | NTRK2 | NTRK3 | PD-L1 | |
Fluorescence In Situ Hybridization (FISH)
| Amplification(s) | |||||
|---|---|---|---|---|---|
| HER2 | MET | ||||
| Deletion(s) | |||||
|---|---|---|---|---|---|
| PTEN | |||||
| Rearrangement(s) | |||||
|---|---|---|---|---|---|
| ALK | RET | ROS1 | |||
Polymerase Chain Reaction (PCR)
| Splice Variant | |||||
|---|---|---|---|---|---|
| MET Exon 14 Deletion | |||||
Last Updated: March 16, 2026