Clinics and Departments

Laboratory Services

Lab Dept:

Anatomic Pathology

Test Name:

ANOPHTHALMIA, MICROPHTHALMIA (SIX6) DELETION/DUPLICATION

General Information

Lab Order Codes:

SICD (Blood samples only)

Synonyms:

Developmental Eye Disorders Gene Testing

CPT Codes:

81400 – Molecular Pathology, Level 1

Test Includes:

For the gene of interest, the number of copies present in the patient's sample.

Logistics

Test Indications:

Several developmental eye disorders have a known genetic basis including microphthalmia and anophthalmia.
1. Confirmation of clinical diagnosis
2. Genetic counseling
3. Prenatal diagnosis

Lab Testing Sections:

Anatomic Pathology - Sendouts

Referred to:

GeneDx, Inc. (GDX Test: 906, Specify gene/mutation)

Phone Numbers:

MIN Lab: 612-813-6280

STP Lab: 651-220-6550

Test Availability:

Daily, 24 hours (Preferred draws are Sunday - Thursday as specimens can only be received at the reference lab Monday - Friday. Specimens collected Friday or Saturday will be held for shipment on Monday.)

Turnaround Time:

4 - 6 weeks

Special Instructions:

A GeneDx signed request form must be sent with any patient or specimen to the laboratory.

Specimen

Specimen Type:

Whole blood

Container:

Lavender top (EDTA) tube

Draw Volume:

1 - 5 mL blood

Processed Volume:

Same as Draw Volume

Collection:

Routine venipuncture for blood specimens, invert gently to mix

Special Processing:

Lab Staff: Send whole blood in original collection container labeled with patient name, date of birth and medical record number, including signed consent form and requisition, with a cool pack, via overnight or second-day courier so that the sample will arrive at GeneDx, Inc. on a weekday (Monday through Friday). Include a cool pack when shipping in warm weather. Samples drawn on Friday or Saturday should be held at refrigerated temperatures for shipment on Sunday. Do not freeze.
Note:
Specimens may be stored at refrigerated temperatures for up to 3 days prior to shipping.

Patient Preparation:

None

Sample Rejection:

Unrefrigerated specimens older than 48 hours; clotted or hemolyzed for blood; frozen specimens; mislabeled or unlabeled specimens

Interpretive

Reference Range:

Interpretive report

Critical Values:

N/A

Limitations:

Buccal brushes are not acceptable for this testing.

Methodology:

Targeted array CGH analysis with exon-level resolution

References:

GeneDx, Inc. February 2012
(301) 519-2100 Fax (301) 519-2892

Updates:

1/29/2013: CPT 2013 Updates
3/26/2014: CPT 2014 Updates



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