Episodic Ataxia Evaluation

Test Code

Test Details

Test code: 6920
Type of disorder: Movement Disorders
Disease(s) tested for: Episodic Ataxia
Genes Included: CACNA1A, CACNB4, KCNA1, SLC1A3
Informed Consent Required: This test requires physician attestation that patient consent has been received

Technical Information

Clinical Significance: This test includes sequencing of the following genes CACNA1A, SLC1A3, KCNA1, and CACNB4. This test covers the most common causes for episodic ataxia, which is a variable condition characterized by intermittent attacks of ataxia and vertigo.
Methodology: Next Generation Sequencing
Reference Range: Accompanies report

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.

CPT: 81185(1), 81479(1)

Specimen Requirements

Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form.

Specimen Type: Whole blood
Specimen Stability: Room temperature: 10 days, Refrigerated: 10 days, Frozen: Unacceptable
Specimen Requirements: 8 mL (6 mL minimum) whole blood collected in two (lavender-top) EDTA tubes. Pediatric (0-3 years): 2 mL (1 mL minimum)
Instructions: Higher blood volumes ensure adequate DNA quantity, which varies with WBC, specimen condition, and need for confirmatory testing. Patients, 0-3 years have higher WBC, yielding more DNA per mL of blood

Shipping Considerations

Transport Temperature: Room temperature
Set-up/Analytic Time: 21-28 days

Additional Resources

Letters of Medical Necessity

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