Alpha-Globin Gene Deletion or Duplication : 16124

Message
Provide: Ethnicity, Clinical Indication, Name of Referring Physician, and Physician's phone number.


Test Code
ALGLDQ or 16124


Alias/See Also
Hydrops Fetalis, Alpha-Globin Rare Deletion/Duplication, Hemoglobin Barts Hydrops Fetalis, Alpha-Globin Gene Triplication, Alpha-Globin Gene Number, Hemoglobin H Disease, Alpha-Thalassemia


CPT Codes
81269

Instructions
Lavender (EDTA), green (no gel) sodium heparin, or yellow (ACD Solution B).


Transport Container
Transport 5 mL whole blood, (Min: 3 mL).


Transport Temperature
Refrigerated.


Specimen Stability
Ambient: 30 days; Refrigerated: 30 days; Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Lithium heparin.


Methodology
Capillary Electrophoresis, Multiplex PCR

Setup Schedule
Tuesday


Report Available
2-3 weeks (From receipt at performing laboratory)


Limitations
This test does not identify whether a two-gene deletion is in cis (on the same chromosome) or trans (on opposite chromosomes). In the absence of a coexisting deletion on the opposite chromosome, this test can identify the presence of an extra alpha globin gene (alpha triplication).

This test was developed and its performance characteristics have been determined by Quest Diagnostics. Performance characteristics refer to the analytical performance of the test.


Reference Range
By report.


Clinical Significance
This test can be used to detect the presence or absence of large deletions in the HBA1 or HBA2 gene in patients or their family members suspected of having alpha thalassemia or who are carriers of alpha globin deletions. The assay can also be used in the prenatal diagnosis of alpha thalassemia. The assay does not determine the type or breakpoint of the rearrangement. This assay can be used instead of southern blot analysis to determine the total number of intact alpha globin genes.


Performing Laboratory
Quest Diagnostics



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.