Athena #047 CMT Advanced Evaluation - Demyelinating (#4007)

Message
Hereditary Neuropathy Test will be performed in a reflexive manner. PMP22 Duplication/deletion testing will be performed first via MLPA and all non-positives will reflex to Next Generation Sequencing of all remaining genes and MLPA analysis of GJB1 (Cx32).


Test Code
4007


CPT Codes
81324(1), 81325(1), 81403(1), 81404(2), 81405(3), 81406(2), 81479(1)

Includes
Connexin32 Evaluation, DNM2 DNA Sequencing Test, EGR2 DNA Sequencing Test, FGD4 DNA Sequencing Test, FIG4 DNA Sequencing Test, GDAP1 DNA Sequencing Test , LITAF/SIMPLE DNA Sequencing Test, MTMR2 DNA Sequencing Test, Myelin Protein Zero (MPZ) DNA Sequencin


Preferred Specimen
Whole Blood 15 mL


Transport Container
Lavender top (EDTA)


Transport Temperature
Room temperature


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


Methodology
MLPA and Next Generation Sequencing

Report Available
28 days


Reference Range
No mutations detected




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.