CMT Advanced Evaluation - Dominant, Demyelinating

Test Code
901155


CPT Codes
81448

Includes
Connexin32 Evaluation, DNM2 DNA Sequencing Test, EGR2 DNA Sequencing Test, FGD4 DNA Sequencing Test, FIG4 DNA Sequencing Test, GDAP1 DNA Sequencing Test , LITAF/SIMPLE DNA Sequencing Test, MTMR2 DNA Sequencing Test, Myelin Protein Zero (MPZ) DNA Sequencing Test, NDRG1 DNA Sequencing Test, Periaxin DNA Sequencing Test, PMP22 DNA Sequencing Test, PMP22 Duplication/Deletion DNA Test, SBF2 DNA Sequencing Test, SH3TC2 DNA Sequencing Test, YARS DNA Sequencing Test
Special Notes: Test will be performed in a reflexive manner. PMP22 Duplication/deletion testing will be performed first via MLPA and all non-positives will reflex to Next Generation Sequencing of all remaining genes and MLPA analysis of GJB1 (Cx32).


Preferred Specimen
8 mL whole blood collected in an EDTA (lavender-top) tube


Minimum Volume
6 mL


Instructions
Informed consent is required. Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requistion form.
Note: Higher blood volumes ensure adequate DNA quantity, which varies with WBC, specimen condition, and need for confirmatory testing. Patients, 0-3 years have higher WBC, yielding more DNA per mL of blood.


Transport Temperature
Room temperature


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


Methodology
Multiplex Ligation-dependent Probe Amplification (MLPA) • Next Generation Sequencing

Setup Schedule
Set up: Varies; Report available: 21-28 days


Reference Range
No mutations detected


Clinical Significance
Detects duplications/deletions in PMP22 and deletions in Cx32 and sequence variations in Cx32, PMP22, MPZ, EGR2, LITAF, PRX, GDAP1, DNM2, YARS, SH3TC2, MTMR2, NDRG1, FGD4, FIG4, SBF2




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.