TSC Familial Mutation Evaluation

Test Code
901336


CPT Codes
81403<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
8 mL whole blood collected in EDTA (lavender-top) tube, or
Pediatric (0-3 years): 2 mL whole blood


Minimum Volume
6 mL • 1 mL pediatric


Instructions

Informed consent required.

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

Ship room temperature, avoid freezing.

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
Next Generation Sequencing • Sanger Sequencing

Setup Schedule
Set up: Varies; Report available: 14-28 days


Reference Range
No sequence variation detected


Clinical Significance
Detects a single sequence variation in either TSC1 or TSC2 based on proband's mutation.




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.