Progressive External Opthalmoplegia Evaluation - Athena #576

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Test cost  $5025.

This test is currently only available in BHS CPRS. If you are a Bedford provider and wish to see this test offered in Bedford CPRS- please contact the Bedford Laboratory.


Test Code
POE EVAL(ATH#576)


Includes


Preferred Specimen
Whole blood - Lavender EDTA - 3 tubes


Minimum Volume
Preferred: 8 mL
Minimum: 6 mL


Transport Temperature
Room temperature. Avoid freezing.


Specimen Stability
Room temperature: 10 days
Refrigerated: 10 days
Frozen: Unacceptable


Methodology
Sanger Sequencing, Restriction Fragment Length Polymorphism (RFLP)

Report Available
28 - 42 days


Reference Range
Provided with patient report in CPRS.


Clinical Significance
Type of disorder: Mitochondrial Disorders

Typical presentation: Mitochondrial disease is a clinically heterogeneous group of multisystem disorders characterized by muscle weakness and wasting caused by mutations of nuclear or mitochondrial DNA. PEO is associated with a clinical presentation that includes ptosis and/or ophthalmoplegia in patients with onset in adolescence or adulthood. Additional symptoms may include exercise intolerance, proximal muscle weakness and wasting, cataracts, hearing loss, sensory axonal neuropathy, ataxia, depression, or hypogonadism.

Indications for testing: Symptomatic individuals consistent with a clinical presentation of Progressive External Ophthalmoplegia (PEO) phenotype.

Disease(s) tested for: Progressive External Ophthalmoplegia

Utility: Detects mutations in nuclear genes and mitochondrial DNA associated with the PEO Phenotype


Performing Laboratory
Athena Diagnostics, Inc.
200 Forest Street, 2nd Floor
Marlborough, MA 01752

Additional Information
Link to Athena Diagnostics test catalog

Last Updated: December 18, 2015


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.