Hypotonia Panel (DMPK, PWS, SMA)
Order Name
HYPOTON P
Test Number: 5594975
Revision Date 10/01/2022
Test Number: 5594975
Revision Date 10/01/2022
| Test Name | Methodology | LOINC Code |
|---|---|---|
|
Myotonic Dystrophy (DMPK)
|
Polymerase Chain Reaction | |
|
Prader-Willi syndrome DNA (PWS)
|
DNA methylation analysis | |
|
Spinal muscular atrophy (SMA)
|
Polymerase Chain Reaction |
| SPECIMEN REQUIREMENTS | ||||
|---|---|---|---|---|
| Specimen | Specimen Volume (min) | Specimen Type | Specimen Container | Transport Environment |
| Preferred | 5mL (3mL) | Whole Blood | EDTA (Lavender Top) | Room Temperature |
| GENERAL INFORMATION | |
|---|---|
| Testing Schedule | Mon-Fri |
| Expected TAT | 2-3 Weeks |
| Notes | Hypotonia Panel includes Myotonic Dystrophy (DMPK), Prader-Willi syndrome (PWS) DNA methylation analysis and Spinal muscular atrophy (SMA) to expedite diagnosis. Reference Lab: St. Francis Genetics Laboratory Test Code: (DMPK, PWS, SMA) United Healthcare Insurance requires that each component of this panel has a Pre-Authorization obtained. Please submit the following tests for Pre-Authorization when the patient has United Healthcare insurance. 5594800 - Myotonic Dystrophy 5591575 - Prader Willi Syndrome 5593965 - Spinal Muscular Atrophy |
| CPT Code(s) | (Pre-Authorization Required) 81400; 81331; 81234 |
| Lab Section | Reference Lab |