Spinal Muscular Atrophy (SMA) Carrier Screen

Test Code
SMASCR


Alias/See Also
39445


CPT Codes
81329

Preferred Specimen
4 mL whole blood collected in an EDTA (lavender-top) tube


Minimum Volume
2 mL


Other Acceptable Specimens
Whole blood collected in: ACD solution A (yellow-top) tube or ACD solution B (yellow-top) tube


Instructions
Whole blood: Normal phlebotomy procedure. Store and ship room temperature immediately. Do not freeze.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 8 days
Refrigerated: 14 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received frozen • Clotted


Methodology
Allele Specific Real-Time Polymerase Chain Reaction, ddCt Method

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest 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
Sets up 7 days a week.


Report Available
Reports in 5 to 7 days.


Reference Range
See Laboratory Report


Clinical Significance
Carrier screening for Spinal Muscular Atrophy (SMA). SMA is one of the most common autosomal recessive diseases, characterized by the degeneration of the anterior horn cells of the spinal cord which leads to symmetric proximal muscle weakness. The survival motor neuron (SMN1) gene has been shown to be responsible for 99% of SMA cases. An adjacent homologous gene, SMN2, encodes a protein identical to that of SMN1. SMA is caused by a critical reduction in the total amount of functional SMN protein. Although a diagnosis of SMA depends upon SMN1 gene copy number, a less severe SMA phenotype may be associated with an increased number of functional SMN2 gene copies. This test is appropriate to determine the SMN1 copy number and to refine the risk that the patient is a silent carrier (also known as 2+0 carrier) by determining the presence or absence of the g.27134T>G variant when SMN1 copy number is equal to two. This test will also assess the SMN2 copy number when SMN1 copy number is equal to zero or one, or when it is equal to two in the presence of the g.27134T>G variant.


Performing Laboratory
Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042


Last Updated: December 15, 2022


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.