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Autosomal Recessive Hereditary Spastic Paraplegia Evaluation #654
Type of Disorder: Motor Neuron Disease
Typical Presentation: Insidiously progressive spasticity and weakness of the legs, urinary urgency and high arched feet are often present; clinical variability between family members with the same mutation may exist. SPG7 is often associated with cerebellar signs, optic atrophy, neuropathy while SPG11 is associated with cognitive decline, thin corpus collosum, upper extremity weakness, dysarthria and nystagmus.
Indications for Testing: To confirm a specific diagnosis or prognosis of known or suspected HSP; testing should be considered for those with unexplained spastic gait, with or without neurologic impairment.
Disease(s) tested for: Hereditary Spastic Paraplegia
Test Details
Test Code: 654
Profile includes: Paraplegin (SPG7) DNA Sequencing Test, Spatacsin (SPG11) DNA Sequencing Test, CYP7B1 (SPG5A) DNA Sequencing Test, Spastizin (ZYFVE26) DNA Sequencing Test (SPG15)
Informed Consent Required: Yes
Technical Information
Utility: Detect mutations in SPG7, SPG11, SPG5A, and SPG15
Methodology: Polymerase Chain Reaction (PCR) and DNA Sequencing
Reference Value: No mutations 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), 83898(110), 83904(110), 83909(110), 83912(1)
CPT 2013: 81406(1), 81407(1), 81479(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: 10 mL
Collection Tube: Lavender top (EDTA)
Shipping Conditions: Room temperature, avoid freezing, ship within 24 hours Monday - Friday
Test Turnaround: 4-6 weeks
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