SPINAL MUSCULAR ATROPHY, BLOOD

 

Test Performed At:

 

 

Baylor DNA Diagnostic Laboratory

 

Specimen Required:

 

 

Draw blood in a lavender-top (EDTA) tube(s), and send 3.0-5.0 mL of EDTA whole blood.

 

 

NOTE:

Please have the patient read and sign a “Baylor DNA Consent Form” and a “Baylor DNA Requisition Form” and forward them with the specimen. These forms are supplied by St. Louis Children’s Hospital.

 

Laboratory Notes:

 

 

DO NOT SPIN.  Send 3.0 - 5.0 mL (2.0) (EDTA) whole blood.  Refrigerate overnight or over the weekend.

 

 

NOTE:

Please include a completed “Baylor DNA Consent Form” and a “Baylor DNA Requisition Form” and forward them with the specimen.

 

Reference Values:

 

 

Interpretative report

 

Day(s) Test Set Up:

 

 

Monday - Friday

 

Cut-Off Time:

 

 

 

 

Turn Around Time:

 

 

2-3 weeks

 

CPT Code:

 

 

83894 x 2 -electrophoresis

 

 

83892 x 2 -enzyme digestion

 

 

83891 - extraction

 

 

83912 x 2 -interpretation and report

 

 

83898 x 2 -PCR

 

Care Manager Order Name:

 

 

Miscellaneous Referral Test ONCE RTN

 

KIDDOS Order Name:

 

 

Miscellaneous Lab Test

 

Cerner Order Name:

 

 

Misc Ref SLC

 

Last Updated 01/08