Athena Diagnostics - Testing that Makes a Difference
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180K WholeGenome Chromosomal Microarray Analysis #783
Type of Disorder: Intellectual disability , Autism
Typical Presentation: Developmental delay, dysmorphic features, intellectual disability, patients with unknown symptomology
Disease(s) tested for: Intellectual disability, Developmental delay, Autism
Test Details
Test Code: 783
Informed Consent Required: Yes
Medicare ABN Required: Yes
Special Notes: Athena is a member of the International Standard Cytogenomic Array Consortium (ISCA) and provides de-identified, HIPAA-compliant genomic results to the National Center for Biotechnology Information (NCBI) database. The NCBI is a division of the National Institute of Health (NIH) and serves the mission of advancing our understanding of human genetics. Patients may withdraw consent to use their data by calling 1-800-394-4493 option 2.
Technical Information
Utility: Detects microduplications and microdeletions on chromosomal DNA including the telomeric and subtelomeric regions
Methodology: Microarray with FISH confirmation
Reference Value: No duplications or deletions 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), 83892(2), 83898(2), 88386(1)
Tiered CPT Code(s): 81229
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: Adult: 20 mL, Pediatric: 8 mL, Newborn and small infant: 4 mL
Collection Tube: 10 mL in Lavender (EDTA), 10 mL in Green (Sodium Heparin). Pediatric minimum is 4 mL in each tube. Newborn and small infant minimum is 2 mL in each tube
Storage Conditions: For short periods (until shipped) at 4C
Shipping Conditions: Overnight at room temperature. Hemolysis may compromise DNA recovery and integrity after 24 hours; therefore, specimen arrival must be less than 24 hours after collection.
Test Turnaround: 7 - 14 days
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