Distal Myopathy Advanced Sequencing Evaluation

Test Code
5504

Test Details


Test code:5504
Type of disorder:Neuromuscular Disorders
Disease(s) tested for:Distal Myopathy
Genes Included: ANO5, CAV3, CRYAB, DES, DNM2, DYSF, FLNC, GNE, KLHL9, LDB3, MATR3, MYH7, MYOT, NEB, TIA1, TTN, VCP,
Informed Consent Required:This test requires physician attestation that patient consent has been received

Technical Information


Clinical Significance:Detects sequence variations in 17 genes associated with weakness of the distal muscles of the upper and lower limbs.

Typical Presentation: Weakness of the distal muscles of the upper and lower limbs. They are highly variable in age of onset and pattern of muscle involvement.
Methodology: Next Generation Sequencing
Reference Range: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.

CPT:81404, 81405(2), 81406(3), 81407, 81408(2), 81479

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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