CMT Advanced Evaluation - Axonal

Test Code
92432


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

Includes
DNM2 DNA Sequencing Test
GARS DNA Sequencing Test
GDAP1 DNA Sequencing Test
GJB1 (CX32) Sequencing and Deletion Evaluation
HSPB1 DNA Sequencing Test
HSPB8 DNA Sequencing Test
LMNA (CMT) DNA Sequencing Test
MFN2 DNA Sequencing Test
MPZ DNA Sequencing Test
Neurofilament Light (NFL) DNA Sequencing Test
RAB7A DNA Sequencing Test
TRPV4 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
Physician Attestation of Informed Consent - This germline genetic test requires physician attestation that patient consent has been received.
Immediate shipping is recommended to optimize DNA quality and quantity. 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
Multiplex Ligation-dependent Probe Amplification (MLPA) • Next Generation Sequencing

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 FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

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.