Athena #819 Congenital Hyperinsulinism Evaluation

Message
Blood samples should be submitted for proband and both parents, whenever possible Hemolysis may compromise DNA recovery and integrity after 48 hrs


Test Code
819


CPT Codes
81403(1), 81406(2), 81407(1)

Includes
ABCC8 (CH) DNA Sequencing Test, GCK (CH) DNA Sequencing Test, GLUD1 (CH) DNA Sequencing Test, KCNJ11 (CH) DNA Sequencing Test


Preferred Specimen
whole Blood? ? blood samples should be submitted for proband and both parents, whenever possible (for more information, please call Athena?s genetic counselor)


Minimum Volume
10 mL (pediatric minimum: 2 mL)


Instructions
Overnight at room temperature (specimen arrival must be less than 24 hrs after collection)


Transport Container
yellow or lav(EDTA)


Transport Temperature
Room Temp


Specimen Stability
Refrigerated For short periods (until shipped) at 4?C


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
freezing


Methodology
Polymerase Chain Reaction (PCR), DNA sequencing of entire protein coding regions of genes

Setup Schedule
M-Th


Report Available
7 days


Reference Range
No mutation detected


Clinical Significance
"Type of Disorder: Pancreas, Congenital Hyperinsulinism

Typical Presentation: persistent hypoglycemia in newborns, Severe

Indications for Testing: Severe, persistent hypoglycemia in newborns or infants
Family history of CH

Disease(s) tested for: Congenital Hyperinsulinism
Detects mutations (including point mutations, deletions, insertions, and rearrangements) in the coding sequences of the genes ABCC8, KCNJ11, GCK, and GLUD1"




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.