MIRAS-Specific POLG1 DNA Test

Message

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

POLG1 DNA(ATH)

Preferred Specimen

Whole blood lavender EDTA

Minimum Volume

10 mL

Instructions

Avoid freezing. Ship within 24 hours, Mon-Thu only.

Transport Temperature

Room temperature

Methodology
PCR and DNA Sequencing

Report Available

28-42 days

Reference Range

Provided with patient report in CPRS.

Clinical Significance

Disease(s) tested for: Mitocondrial recessive ataxia syndrome (MIRAS)
Utility: Detects sequence variations in three exons in the POLG1 gene known to cause the MIRAS syndrome
Indications for Testing: Patients previously tested and found to be negative for all other ataxia genes

Performing Laboratory
Test performed at Athena Diagnostics.

Additional Information
Link to test information on Athena Diagnostics website

Last Updated: October 28, 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.