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Laboratory Diagnostic Test: What You Need to Know About Testing, Results, and Follow-Up Care

Published: August 9, 2026Updated: August 10, 2026

This blood test detects abnormal genetic sequences that may indicate clonal hematopoiesis or hematologic malignancies using molecular genetic methods.

Quick summary

{"Detects abnormal genetic changes in blood cells","Helps diagnose blood cancers and bone marrow disorders","Uses molecular genetics to analyze DNA/RNA sequences","Performed on serum sample","Results help guide treatment decisions"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
104274-6
Short code
ABN_CLONAL_SEQ
Synonyms
Abnrml clonal seq Seq Spec
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or plain red top tube; alternatively EDTA tube for plasma
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
molgen
CPT
81402 or 81403 (Molecular pathology procedure, targeted genomic sequence analysis)
SNOMED
371549003, 363358000
Specimen volume
5-10 mL serum or plasma
Stability
Serum: Room temperature 2-8 hours, refrigerated 24-48 hours, frozen (-20°C or -80°C) for long-term storage. Avoid repeated freeze-thaw cycles.
Hemolysis max
50
Lipemia max
50
Icterus max
20
TAT
72–168 hours
Order
routine

This test is a laboratory analysis performed on a sample of your blood, urine, or other body fluid or tissue to help your doctor evaluate how well your organs are functioning and to detect signs of disease, infection, or other health conditions that may not cause noticeable symptoms.

The Abnormal Clonal Sequences test is a molecular genetics test that looks for specific genetic abnormalities in your blood. 'Clonal sequences' refer to a group of cells that originated from a single abnormal cell. This test detects whether there are abnormal genetic sequences in these clonal cells, which can indicate various blood disorders.

Your doctor may order this test as part of a routine checkup to screen for potential health problems, to help diagnose the cause of symptoms you are experiencing, to monitor an existing condition such as diabetes or kidney disease, or to check how well a treatment or medication is working for you.

Your healthcare provider may order this test to: (1) Diagnose hematologic malignancies such as leukemia, lymphoma, or multiple myeloma; (2) Detect clonal hematopoiesis of indeterminate potential (CHIP), a condition with abnormal blood cell clones; (3) Monitor disease progression or recurrence; (4) Guide treatment decisions by identifying specific genetic mutations.

In most cases, a health care professional will draw a small sample of blood from a vein in your arm using a thin needle, which usually takes only a few minutes. Depending on the type of test, you may instead be asked to provide a urine, saliva, or stool sample, or a small tissue sample may be collected. The sample is then sent to a laboratory for analysis.

A blood sample is collected from a vein in your arm. The sample is then sent to a laboratory where molecular genetics techniques are used to analyze the DNA or RNA sequences in your blood cells. The test looks for specific abnormal genetic patterns or mutations that may be present in clonal cell populations.

Your results will show whether the levels of the substances measured fall within the normal reference range for your age and sex. Values that are higher or lower than expected may point to infection, inflammation, organ dysfunction, or another condition, but abnormal results do not always mean you are sick. Your doctor will interpret your results alongside your medical history and symptoms and may recommend follow-up testing if needed.

Results are reported as 'Detected' or 'Not Detected'. If abnormal clonal sequences are detected, it may indicate the presence of a hematologic disorder. Your healthcare provider will interpret these results in conjunction with your clinical symptoms, other lab tests, and medical history. Further testing may be needed to confirm a diagnosis.

This test is very safe. If you have blood drawn, you may feel a brief sting when the needle is inserted, and some people develop a small bruise, mild soreness, or slight dizziness afterward. Serious complications such as infection or excessive bleeding are rare. If a tissue sample was taken, you may have minor discomfort or bleeding where the sample was collected.

The risks associated with this test are minimal and similar to routine blood tests. You may experience slight pain, bruising, or dizziness at the puncture site. These symptoms usually resolve quickly.

Reference range

Not detected / Negative for clonal sequencesN/A

Specimen: serum

No special preparation required. Collect specimen according to standard venipuncture protocol. Inform laboratory of any recent blood transfusions, as this may affect results. Provide relevant clinical history including prior malignancy, treatment history, and suspected diagnosis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test plays a crucial role in diagnosing and managing hematologic malignancies. Detection of abnormal clonal sequences can indicate conditions such as acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), myelodysplastic syndromes (MDS), and other lymphoproliferative disorders. The presence of specific mutations may also predict prognosis and guide targeted therapy choices.

Additionally, this test can identify clonal hematopoiesis of indeterminate potential (CHIP), which is an age-related condition where blood cells with specific mutations expand. While CHIP itself is not a cancer, it increases the risk of developing hematologic cancer and cardiovascular disease. Monitoring individuals with CHIP may be recommended.

Frequently asked questions

Do I need to fast before this test?
No, fasting is typically not required for this test. You can eat and drink normally unless your healthcare provider instructs otherwise.
How long does it take to get results?
Molecular genetics tests usually take longer than routine blood tests. Results may take several days to a few weeks, depending on the laboratory and specific tests performed.
Will I need additional tests if abnormal clonal sequences are found?
If abnormal sequences are detected, your healthcare provider may recommend additional tests such as bone marrow biopsy, flow cytometry, or other genetic tests to confirm a diagnosis and determine the appropriate treatment plan.
Can this test detect all types of blood cancer?
No single test can detect all blood cancers. This test looks for specific genetic abnormalities. Your healthcare provider will use a combination of tests to make an accurate diagnosis.
Is this test used for monitoring treatment response?
Yes, this test can be used to monitor disease burden and treatment response by tracking the level of abnormal clonal sequences over time. Decreasing levels may indicate a positive response to treatment.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 10, 2026. · Read our editorial policy