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Syndromic Congenital Muscular Dystrophy (CMD) Evaluation #237
Type of Disorder: Neuromuscular Disorders
Typical Presentation: CMD is a heterogeneous group of autosomal recessively inherited disorders in which muscle weakness is present at birth or within the first few weeks of life. Affected individuals typically have hypotonia, delayed motor development, usually elevated CK levels and sometimes abnormal MRI. FCMD/FKTN is associated with Syndromic forms of CMD.
Indications for Testing: Symptomatic individuals consistent with congenital muscular dystrophy.
Disease(s) tested for: Congenital muscular dystrophy
Test Details
Test Code: 237
Profile includes: FCMD/FKTN DNA Sequencing Test, POMGNT1 (CMD) DNA Sequencing Test, POMT1 (CMD) DNA Sequencing Test, POMT2 (CMD) DNA Sequencing Test
Informed Consent Required: Yes
Medicare ABN Required: Yes
Technical Information
Utility: Confirm diagnosis of CMD. A positive result eliminates the need for muscle biopsy in most patients.
Methodology: DNA Sequencing
Reference Value: Normal: no point mutations or nucleotide level deletions/duplications identified in FCMD/FKTN.
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(69), 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: 2-4 mL
Collection Tube: Lavender top (EDTA)
Storage Conditions: Refrigerate, avoid freezing
Shipping Conditions: Room temperature, avoid freezing. Ship within 24 hours, Monday -Friday
Test Turnaround: 21-28 days
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