Athena Diagnostics - Testing that Makes a Difference
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SMA Plus (Reflexive) #214
Type of Disorder: Motor Neuron Disease
Typical Presentation: Spinal muscular atrophy is characterized by progressive muscle weakness caused by the degeneration of lower motor neurons that are responsible for controlling voluntary muscle movement including walking, crawling, swallowing, and head and neck control. Age of onset ranges from before birth to adolescence or young adulthood. The most common type of SMA is associated with respiratory failure and death before the age of two.
Indications for Testing: Symptomatic individuals consistent with SMA
Disease(s) tested for: Spinal muscular atrophy (SMA)
Test Details
Test Code: 214
Profile includes: SMN DNA Sequencing Test, Spinal Muscular Atrophy Diagnostic Test
Informed Consent Required: Yes
Medicare ABN Required: Yes
Special Notes: Since 95% of individuals affected with SMA will have a homozygous deletion of SMN1, it is recommended that the patient be tested first for deletions. The test will stop once a positive result is found and only the portion of the test performed is charged.
Technical Information
Utility: Confirm diagnosis of SMA caused by the mutations in the SMN1 gene.
Methodology: MLPA and DNA Sequencing
Reference Value: Two deletions and no point mutations identified in SMN1 or SMN2
Patents: 6,080,577, 7,033,752
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(8), 83900(1), 83901(14), 83904(8), 83909(9), 83912(1), 83914(16)
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: 2-4 mL
Collection Tube: Lavender top (EDTA)
Alternate Specimen Requirements
Type: Whole blood
Minimum Volume: 2-4 mL
Collection Tube: Yellow top (ACD-A or ACD-B)
Storage Conditions: Room temperature: 5 days; Refrigerated: 14 days; Frozen: Unacceptable
Shipping Conditions: Room temperature. Clotted specimens will be rejected.
Test Turnaround: 7-12 days
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