DRPLA (ATN1) Repeat Expansion Test

Test Code
92910


CPT Codes
81177<br /> Limited Access Code

Preferred Specimen
8 mL whole blood collected in two EDTA (lavender-top) tubes
Pediatric (0-3 Years): 2 mL


Minimum Volume
6 mL • Pediatric: 1 mL


Instructions
Informed consent required.

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

Note: Higher blood volumes ensure adequate DNA quantity, which varies with WBC, specimen condition, and need for confirmatory testing. Patients, 0-3 years may 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
Repeat Expansion Detection by Polymerase Chain Reaction

Setup Schedule
Set up: Varies; Report available: 14-21 days


Reference Range
Technical Results:
Normal (≤35)
Borderline (36-47)
Positive (≥48)


Clinical Significance
Detection of CAG triplet repeat expansions in the DRPLA gene.

Typical Presentation: Ataxia, chorea, progressive myoclonus epilepsy, dementia and psychiatric symptoms.




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.