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SHANK3 DNA Sequencing Test #742
Type of Disorder: Autism
Typical Presentation: Defining feature includes impaired verbal and nonverbal communication, and restricted and repetitive behavior patterns.
Indications for Testing: Negative for Fragile X and Chromosomal Microarray evaluations
Disease(s) tested for: Autism
Test Details
Test Code: 742
Profiles that contain this test: Autism Spectrum Disorders Evaluation, Autism Spectrum Disorders Evaluation (old)
Informed Consent Required: Yes
Medicare ABN Required: Yes
Special Notes: Sequences 22 of the 23 coding exons, (96% of the gene). Exon 12 is not sequenced. There are no reported sequence variants within Exon 12.
Technical Information
Utility: Detects mutations in the SHANK3 gene
Methodology: DNA Sequencing
Reference Value: No sequence variations detected
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(30), 83904(30), 83909(30), 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: 10 ml
Collection Tube: Lavender top (EDTA)
Shipping Conditions: Room temperature, avoid freezing
Test Turnaround: 14-21 days
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