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Bcr-Abl Break Apart Fusion Gene Test (by PCR)

Published: August 9, 2026Updated: August 16, 2026

This test checks for genetic changes in white blood cells that may indicate chronic myeloid leukemia (CML) or other blood disorders. It detects a specific rearrangement involving the BCR and ABL genes, which can help guide treatment decisions.

Quick summary

["This test helps diagnose or monitor blood cancers by looking for genetic mutations linked to abnormal cell growth."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
75892-0
Short code
t(9;22)(ABL1,BCR) break pts Bld/T
Synonyms
t(9;22)(ABL1,BCR) break pts Bld/T
Category
coagulation
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
85610
SNOMED
396252006
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Doctors may order this test if you have symptoms of blood disorders, such as unexplained fatigue, weight loss, or frequent infections. It’s also used during treatment to check if the disease is responding or if it’s spreading. Some people get this test as part of routine monitoring after treatment begins.

How the Test Works

The test uses a small sample of blood to analyze DNA from white blood cells. Specialized lab techniques (like polymerase chain reaction, or PCR) identify whether the BCR and ABL genes are separated in a way that suggests a fusion gene, which is a hallmark of certain blood cancers.

Sample Collection and Preparation

A blood sample is drawn from your arm, usually in a clinic or lab. The blood is processed to isolate white blood cells, which are then tested for the genetic changes. No special preparation is needed before the test.

What to Expect After the Test

Results may take several days to a week, depending on lab processes. Your healthcare provider will discuss the results with you, explaining whether the test found the genetic changes and how they relate to your condition.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: whole-blood

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Positive results for the BCR-ABL fusion gene strongly suggest chronic myeloid leukemia (CML) or other related blood disorders. This genetic marker helps doctors confirm the diagnosis, determine the appropriate treatment, and monitor disease progression or response to therapy. Early detection and targeted treatment can improve outcomes and quality of life.

Short name

BCR-ABL Break Apart Test

Frequently asked questions

What does a positive result mean?
A positive result means the test found the genetic rearrangement between the BCR and ABL genes, which is commonly linked to chronic myeloid leukemia (CML) or other blood disorders. This finding helps guide treatment choices and ongoing care.
Will this test affect my treatment plan?
Yes, the results of this test play a key role in deciding your treatment. Doctors use them to choose therapies like targeted drugs or stem cell transplants, and to adjust treatment as needed during follow-up.
How often will I need this test?
Your doctor may recommend this test at diagnosis, during treatment, or as part of routine monitoring. The frequency depends on your condition, treatment plan, and response to therapy. Follow-up schedules are personalized.
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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 16, 2026. · Read our editorial policy