PHOX2B

Test Code
10346


CPT Codes
81403, 81404 (x2)<br /> Limited Access Code

Preferred Specimen
5 mL whole blood collected in an EDTA (lavender-top) tube, or ACD (yellow-top) tube


Minimum Volume
3 mL whole blood • 5 ug purified DNA • 15 mg fresh tissue/POC • 10 mL direct amniotic fluid • 5 mg chorionic villi


Other Acceptable Specimens
10 ug of purified DNA at a concentration of at least 100 ng/mcL • Two T25 flasks of confluent cells • 20 mg or 2 mm x 2 mm x 2 mm Fresh Tissue/Products of Conception • Saliva in Oragene ™ or GeneFIX™ saliva collection kit • OCD-100 buccal swab • Dried Blood Spots (DBS): 5 or more completely filled spots • 20 mL of direct amniotic fluid or 10 mg cleaned chorionic villus sampling (CVS) tissue in sterile media or saline


Instructions
Cell Culture: At least two, T25 flasks of confluent cells. Send specimens overnight in an insulated, shatterproof container.

Fresh Tissue/Products of Conception (POC):
20 mg (15 mg min) or 2 mm x 2 mm x 2 mm tissue.
- Direct Tissue: Tissue should be sent frozen.
- Tissue for cell culture: Send in sterile media or saline (not frozen).

Saliva: Oragene ™ or GeneFIX™ saliva collection kit used according to manufacturer instructions. Ship at room temperature.

Buccal: OCD-100 buccal swab preferred used according to manufacturer instructions. Ship at room temperature.

Dried Blood Spots (DBS): 5 or more completely filled spots, each 10 mm in diameter. Ship at room temperature after drying.

Direct Amniotic Fluid or Chorionic Villus Sampling (CVS): 20 mL (10 mL min) of direct amniotic fluid or 10 mg (5 mg min) cleaned CVS tissue in sterile media or saline. A back-up culture is required for ongoing pregnancies. Ship specimens overnight in an insulated, shatterproof container


Transport Temperature
All other specimens: Room temperature
Direct tissue only: Frozen


Specimen Stability
Room temperature: 48 hours
Refrigerated: 7 days


Methodology
Sequencing • CNV Detection via NextGen Sequencing using PG-Select Capture Probes

Setup Schedule
Set up: Varies; Report available: 18 days


Reference Range
See Laboratory Report


Clinical Significance
Individuals who are clinically suspected or diagnosed with CCHS




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.