Athena Diagnostics - Testing that Makes a Difference
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Complete Ataxia Evaluation (Old) #695
Type of Disorder: Movement Disorders
Typical Presentation: Children and Adults: Ataxia, poor coordination of hand, speech and eye movements, uncoordinated and unsteady gait, dysarthria, muscle weakness, dystonia, spasticity in the lower limbs, areflexia, cardiomyopathy, diabetes mellitus
Indications for Testing: Clinical features consistent with those of Ataxia
Disease(s) tested for: Hereditary Ataxia
Test Details
Test Code: 695
Profile includes: Aprataxin DNA Sequencing Test , DRPLA DNA Test, Friedreich Ataxia DNA Test, Friedreich's Ataxia DNA Sequencing Analysis, MIRAS-Specific POLG1 DNA Test, SCA1 DNA Test, SCA10 DNA Test, SCA13 Select Exon DNA Test, SCA14 DNA Test, SCA17 DNA Test, SCA2 Expansion Analysis, SCA3 (Machado-Joseph Disease) DNA Test, SCA5 DNA Sequencing Test, SCA6 DNA Test, SCA7 Expansion Analysis, SCA8 DNA Test, SETX DNA Sequencing Test, SIL1 (Marinesco-Sjogren Syndrome) DNA Sequencing Test, TTPA (Ataxia with Vitamin E Deficiency) DNA Sequencing Test
Informed Consent Required: Yes
Medicare ABN Required: Yes
Special Notes: This profile has been replaced by the Complete Ataxia Evaluation, #696.
Technical Information
Utility: Detection of mutations to DRPLA, SCA1, SCA2, SCA3, SCA5, SCA6, SCA7, SCA8, SCA10, SCA13, SCA14, SCA17, FXN, APTX, POLG1, SIL1, TTPA, SETX
Methodology: DNA sequencing, expansion testing, PCR, Fragment Analysis, Southern Blot
Reference Value: Please see individual test listings
Patents: 5,840,491, 5,834,183, 5,741,645, 6,150,091, 6,673,535, 5,853,995, 6,303,307, 7,329,487, 6,844,431, 6,280,938, 6,514,755, 6,524,791, 7,118,893, 6,855,497, 7,119,186, 7,655,401, 7,527,931, 7,585,629, 7,741,458 7,824,860
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), 83894(1), 83898(135), 83904(125), 83909(135), 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: Refrigerate, Room temperature. Ship within 24 hours, Monday-Thursday only.
Shipping Conditions: Room tempature avoid freezing
Test Turnaround: 28 days
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