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CMT Advanced Evaluation - Nonprevalent Axonal
Test Code92964
CPT Codes
81404, 81405, 81406, 81479 <br><strong>Restricted Use. This code is available for Client #54840, 55738, 56176, 54279, 51618, 51921, 57748, 55851, 53814 and 54329 ONLY.</strong>
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 two EDTA (lavender-top) tube
Pediatric (0-3 Years): 2 mL
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
Refrigerated: 10 days
Frozen: Unacceptable
Methodology
Next Generation Sequencing • Multiplex Ligation-dependent Probe Amplification (MLPA)
Setup Schedule
Report available: 21-28 days