C9ORF72 (FTD) DNA Test

Test Code
209

Test Details


Test code:209
Type of disorder:Dementia
Disease(s) tested for:Frontotemporal Dementia
Genes Included: C9ORF72,
Profiles that contain this test:Frontotemporal Dementia (FTD) Evaluation
Informed Consent Required:This test requires physician attestation that patient consent has been received

Technical Information


Clinical Significance:Detects expansions in C9ORF72 associated with Frontotemporal Dementia

Typical Presentation: Typical presentation includes behavioral variant and primary progressive aphasia. Behavioral variant FTD includes inappropriate social behavior, lack of empathy, changes in appetite, agitation, blunted emotions, neglect of personal hygiene, compulsive behavior, and lack of energy and motivation. Primary progressive aphasia features symptoms of language disturbance, such as difficulty making or understanding speech.

Indications for testing: Onset of symptoms before 65 years of age, positive family history of neurodegenerative conditions, atypical Alzheimer's symptoms such as prominent neurobehavior features and/or absence of significant amnesia
Methodology: Repeat Expansion Detection by PCR, Fragment Size Analysis
Reference Range:Normal: <21 repeats

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: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.
Instructions:Higher blood volumes ensure adequate DNA quantity, which varies with WBC, specimen condition, and need for confirmatory testing.

Shipping Considerations


Transport Temperature:Room temperature
Set-up/Analytic Time:14-28 days

Additional Resources

Letters of Medical Necessity

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