HNF4A (MODY1) DNA Sequencing and Deletion Test

Test Code
901134


CPT Codes
81406, 81479<br /> Restricted Client Code

Physician Attestation of Informed Consent
This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test is performed in MA.


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


Minimum Volume
2 mL


Instructions
Informed consent is requried.

Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form.

Ship overnight at room temperature (specimen arrival must be less than 24 hours after collection); ship Monday through Thursday only

Note: Hemolysis may compromise DNA recovery and integrity after 48 hours


Transport Temperature
Room temperature or Refrigerated (cold packs)


Specimen Stability
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable


Methodology
DNA Sequencing • Multiplex-Ligation Probe Amplification (MLPA)

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


Reference Range
See Laboratory Report


Clinical Significance
Detects deletions and mutations in the HNF4A gene.




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.