Connexin32 DNA Sequencing Test

Test Code

6510

CPT Codes
81403

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

Minimum: 10 mL whole blood collected in an acid citrate dextrose ACD-A (yellow-top) tube

Other Acceptable Specimens

Whole blood collected in: acid citrate dextrose ACD-B (yellow-top), or EDTA (lavender-top) tube

Instructions

Stability restrictions: Transport overnight express at room temperature. Do not transport refrigerated or frozen. Sample must arrive in Chantilly Monday through Thursday a.m. within 24 hours of collection.

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Methodology
Polymerase Chain Reaction • Deoxyribonucleic Acid Sequencing

Setup Schedule

Set up: Thurs, Fri a.m.; Report available: 23 days

Reference Range

No sequence variation detected

Clinical Significance

Disease(s) tested for: Charcot-Marie-Tooth Disease, Type 1X (CMT1X/CMTX)

Performing Laboratory
Athena Diagnostics, Inc.
200 Forest Street, 2nd Floor
Marlborough, MA 01752

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.