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Partial CMT Evaluation - Recessive Only #406
Type of Disorder: Peripheral Neuropathy
Typical Presentation: Individuals with a clear recessively inherited neuropathy in the family, NCVs are typically < 38 m/s and age of onset is usually in childhood
Disease(s) tested for: Charcot-Marie-Tooth disease (CMT)
Test Details
Test Code: 406
Profile includes: EGR2 DNA Sequencing Test, FIG4 DNA Sequencing Test, GDAP1 DNA Sequencing Test , Periaxin DNA Sequencing Test, SH3TC2 DNA Sequencing Test
Informed Consent Required: Yes
Medicare ABN Required: No
Technical Information
Utility: Detects sequence variations in the Early Growth Response 2 (EGR2), Ganglioside-Induced Differentiation-Associated Protein 1 (GDAP1), Periaxin, SH3TC2, and FIG4 genes
Methodology: DNA Sequencing, Polymerase Chain Reaction (PCR)
Reference Value: No sequence variation detected
Patents: 7,273,698
CPT Coding
The CPT codes provided 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 payer being billed.
Stacked CPT Code(s): 83891(1), 83898(69), 83904(69), 83909(5), 83912(1)
Shipping Considerations
Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form.
Preferred Specimen Requirements
Type: Whole blood
Minimum Volume: 20 mL
Collection Tube: Lavender top (EDTA)
Storage Conditions: Room temperature, avoid freezing
Shipping Conditions: Room temperature, avoid freezing. Ship same day, must arrive Monday - Friday.
Test Turnaround: 21-28 days
Canada US