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Autosomal Dominant Hereditary Spastic Paraplegia Evaluation #653
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
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: 653
Profile includes: Atlastin (SPG3A) DNA Sequencing Test , BSCL2 DNA Sequencing Test, KIAA0196 (SPG8) DNA Sequencing Test, KIF5A (SPG10) DNA Sequencing Test, NIPA1 (SPG6) DNA Sequencing Test , REEP1 (SPG31) Deletion Analysis, REEP1 (SPG31) DNA Sequencing Test, Spastin (SPG4) Deletion Test, Spastin (SPG4) DNA Sequencing Test
Informed Consent Required: Yes
Special Notes: Consider testing SPG3A for childhood onset HSP.
Technical Information
Utility: Detect mutations in the most common HSP genes: SPG3a, SPG4, SPG6, SPG8, SPG10, SPG31,SPG17
Methodology: Polymerase Chain Reaction (PCR) and DNA Sequencing. Multiplex Ligation-dependent Probe Analysis for SPG4. SPG31 includes deletion analysis and DNA sequencing
Reference Value: No mutations or deletions detected
Patents: 6,924,126, 7,108,975, 7,582,425, 7,811,762
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(111), 83900(2), 83901(39), 83904(111), 83909(113), 83912(1), 83914(43)
CPT 2013: 81404(1), 81405(2), 81406(3), 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: 20 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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