Early Onset Myotonia Evaluation

Test Code
901325


CPT Codes
81234, 81406 (x2)<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.


Includes
DNA Sequencing Test, DM1 DNA Testing, SCN4A DNA Sequencing Test

Indications for testing: Proximal and/or distal stiffness or weakness. Non-dystrophyc, non-syndromic myotonia with mild hypertrophy. Dystrophic but non-syndromic myotonia for differential


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


Minimum Volume
6 mL


Instructions
Informed consent is required.
Note: Consider for patients < 2 years of age.

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

Shipping conditions: Avoid freezing.

Higher blood volumes ensure adequate DNA quantity, which varies with WBC, specimen condition, and need for confirmatory testing.


Transport Temperature
Room temperature


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


Methodology
Next Generation Sequencing, Repeat Expansion, Southern Blot

FDA Status
This test was developed and its analytical performance characteristics have been determined by Athena Diagnostics. It has not been cleared or approved by the FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

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


Reference Range
No sequence variants detected for CLCN1 and SCN4A genes. DM1 (DMPK) normal: 5-34 CTG repeats


Clinical Significance
Detects CTG repeat expansions in the DMPK gene, and point mutations in the CLCN1 and SCN4A 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.