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Test Catalog
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Complete Dejerine-Sottas Neuropathy Evaluation |
#286 |
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| Type of Disorder: |
Peripheral Neuropathy |
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| Typical Presentation: |
Children with a severe hereditary motor and sensory neuropathy, NCVs are usually < 38 m/s and the symptoms are symmetric |
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| Disease(s) tested for: |
Dejerine-Sottas syndrome, Hereditary Motor Sensory Neuropathy, Type 3 |
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| Test Details |
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| Test Code: |
286 |
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| Profile includes: |
EGR2 DNA Sequencing Test, Myelin Protein Zero (MPZ) DNA Sequencing Test, Periaxin DNA Sequencing Test, PMP22 DNA Sequencing Test
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| Informed Consent Required: |
Yes |
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| Medicare ABN Required: |
No |
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| Special Notes: |
N/A |
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| Technical Information |
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| Utility: |
Detects sequence variations in the PMP22, MPZ (P0), EGR2 and Periaxin genes |
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| Methodology: |
Polymerase Chain Reaction (PCR) and DNA sequencing |
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| Reference Value: |
No sequence variation detected |
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| Patents: |
5,876,927 5,723,593, 7,273,698, 7,537,899 |
| CPT Coding |
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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.
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| Stacked CPT Code(s): |
83891(1), 83898(29), 83904(29), 83909(29), 83912(1) |
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| Shipping Considerations |
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| Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form. |
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| Preferred Specimen Requirements |
| Type: |
Whole blood |
| Minimum Volume: |
20ml |
| Collection Tube: |
Lavender (EDTA) |
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| Storage Conditions: |
Room temperature, avoid freezing |
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| Shipping Conditions: |
Overnight, room temperature |
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| Test Turnaround: |
14-21 days |
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