CMT Advanced Evaluation - Dominant, Axonal

Test Code

92376

CPT Codes
81406, 81405 (x2), 81406, 81405, 81404, 81479 <br>*** RESTRICTED USE *** This code is available for Client #54840, 55738, 56176, 54279, 51618, 51921, 57748, 55851, 53814 and 54329 ONLY

Includes

CMT Advanced Evaluation - Dominant, Axonal; MFN2 DNA Sequencing Test; Myelin Protein Zero (MPZ) DNA Sequencing Test; RAB7 DNA Sequencing Test; GARS DNA Sequencing Test; Neurofilament Light (NEFL) DNA Sequencing Test; HSPB1 DNA Sequencing Test; LMNA DNA Sequencing Test; TRPV4 DNA Sequencing Test; HSPB8 DNA Sequencing Test; DNM2 DNA Sequencing Test; YARS DNA Sequencing Test

Preferred Specimen

8 mL whole blood collected in an EDTA (lavender-top) tube
Pediatric (0-3 Years): 2 mL

Minimum Volume

6 mL • Pediatric: 1 mL

Instructions

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

Transport Temperature

Room temperature

Specimen Stability

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

Methodology
Next Generation Sequencing

Setup Schedule

Report available: 21-28 days

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.