EIF2B2 DNA Sequencing Test

Test Code
6102

Test Details


Test code:6102
Type of disorder:Leukodystrophy
Disease(s) tested for:Leukoencephalopathy with Vanishing White Matter
Genes Included: EIF2B2,
Profiles that contain this test:Leukoencephalopathy with Vanishing White Matter
Informed Consent Required:This test requires physician attestation that patient consent has been received

Technical Information


Clinical Significance:Detects mutations in the EIF2B2 gene

Typical Presentation: Age of onset ranges from a congenital form through an adult onset form. Neurologic symptoms include ataxia, spasticity and variable optic atrophy. Seizures may be a prominent feature in early onset forms.
Methodology: Sanger Sequencing
Reference Range:No mutation 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.

CPT:81405(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:14-28 days

Additional Resources

Letters of Medical Necessity

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