Comprehensive Genetic Test Menu

Diagnostic Services Genetics Comprehensive Genetic Test Menu Diagnostic Services Genetics Genetic Test Menu Have confidence in our specialized gen...
Author: Janis Foster
28 downloads 0 Views 1MB Size
Diagnostic Services Genetics

Comprehensive Genetic Test Menu

Diagnostic Services Genetics

Genetic Test Menu Have confidence in our specialized genetic testing experience For over 40 years, Quest Diagnostics has offered a comprehensive menu of advanced genetic tests. This testing is supported by our highly trained medical specialists and genetic counselors, who are experienced in clinical consultation. We lead the way in genetics through powerful diagnostic insights that take you to the forefront of testing, while meeting the needs of your busy practice.

Call our team of genetic counselors at 866.GENE.INFO (866.436.3463) for specific test information or a clinical consultation. Information is also available online in our Test Center at QuestDiagnostics.com or by calling 866.MY.QUEST (866.697.8378).

We offer over 700 genetic tests, more than any other laboratory. This provides us with experience in reviewing both everyday and rare and difficult cases.

microarray and next-generation sequencing. With the help of scientists at our leading-edge research facility, Nichols Institute, and our Lab of the Future in From prenatal to hereditary cancer Marlborough, MA, we continually expand screening to advanced neurological our portfolio of new and innovative diagnostic testing, our genetic tests use tests. Quest Diagnostics, together with the most advanced technologies available, its subsidiary Athena Diagnostics, can including high-resolution chromosomal provide all of your genetic testing needs.

We hope this comprehensive test menu is a helpful reference for you.

1

Table of Contents

Part 1. Tests Offered by Quest Diagnostics Biochemical Genetics 3 Cytogenetics—General 4 Cytogenetics—Oncology-related 5 Molecular Genetics—Endocrinology 6 Molecular Genetics—Intellectual Disability/Autism 6 Molecular Genetics—Oncology 6 Molecular Genetics—Pharmacogenomics 7 Molecular Genetics—Prenatal/Reproductive 7 Molecular Genetics—Other 8 Other Genetic Tests 9

Part 2. Tests Offered by Athena Diagnostics Endocrinology 10 Nephrology 11 Neurology—Cerebrovascular Disorders 12 Neurology—Dementia 12 Neurology—Epilepsy 13 Neurology—Intellectual Disability/Autism 13 Neurology—Leukodystrophy 14 Neurology—Mitochondrial Disorders 14 Neurology—Motor Neuron Disorders 15 Neurology—Movement Disorders 15 Neurology—Neuromuscular Disorders 17 Neurology—Peripheral Neuropathy 18 Neurology—Other 19 Other Genetic Tests 19

Multiple test codes are available. Refer to the Quest Diagnostics Nichols Institute Directory of Services or the online Test Center (QuestDiagnostics.com) for test information.

2

Genetic Test Menu Part 1. Tests Offered by Quest Diagnostics Test Code

Test Name

Test Code

Test Name

16020

First Trimester Screen, Hyperglycosylated hCG (h-hCG)1

BIOCHEMICAL GENETICS 8284N

Acetylcholinesterase and Fetal Hemoglobin

14531

Acylcarnitine, Plasma

17307X

Alpha-1-Antitrypsin (AAT) Quantitation and Mutation Analysis1

91615

Includes PAPP-A, h-hCG, NT, Down syndrome risk, and interpretation.

500

Glucose-6-Phosphate Dehydrogenase (G-6-PD), Quantitative

31789

Homocysteine (Cardiovascular)

36362

Homocysteine (Nutritional & Congenital)

Alpha-Fetoprotein and Acetylcholinesterase, Amniotic Fluid w/rfl HbF

16148

Integrated Screen, Part 11

232Z

Alpha-Fetoprotein, Amniotic Fluid with Reflex to AchE and Fetal Hgb

16150

19779X

Amino Acid Analysis for MSUD, LC/MS, Plasma

29881

Amino Acid Analysis, LC/MS, CSF

767X

Amino Acid Analysis, LC/MS, Plasma

36183X

Amino Acid Analysis, LC/MS, Urine

34694

Arylsulfatase A

70132X

Biotinidase

16537X

Biotinidase Activity with Reflex to Mutation Analysis1

70107X

Carnitine, LC/MS/MS

15948X

Carnitine, LC/MS/MS and Acylcarnitine

37356

Phenylalanine

335

Cholinesterase, Plasma

26336

Phenylalanine and Tyrosine

338

Cholinesterase, RBC and Plasma

726

Porphobilinogen, Quantitative, 24-Hour Urine

37965

Cholinesterase, Serum

6329

Porphobilinogen, Quantitative, Random Urine

39481

Cholinesterase, Serum, Plasma, RBC

5519

Porphyrins, Fractionated, Plasma

7961

Cholinesterase, Serum, with Dibucaine Inhibition

17198

14591Z

Chromosome Analysis and AFP with Reflex to AchE, Fetal Hgb, Amniotic Fluid

Porphyrins, Fractionated, Quantitative and Porphobilinogen, 24-Hour Urine

729

10947X

Cystine, 24-Hour Urine

Porphyrins, Fractionated, Quantitative, 24-Hour Urine

401X

Cystine, Quantitative, Random Urine

36592

Porphyrins, Fractionated, Quantitative, Random Urine

Genetic Test Menu

Acetylcholinesterase

219

Delta Aminolevulinic Acid, 24-Hour Urine

10290

Porphyrins, Total, Plasma

6301

Delta Aminolevulinic Acid, Random Urine

30294

Quad Screen

19701X

Disaccharidases

36208X

Fetal Hemoglobin, Amniotic Fluid

Test List

4929X

16145

First Trimester Screen, hCG1 Includes PAPP-A, hCG, NT, Down syndrome risk, and interpretation.

Includes PAPP-A and NT.

Integrated Screen, Part 21 Includes AFP; hCG; uE3; inhibin A; PAPP-A and NT from part 1; NTD, Down syndrome, and trisomy 18 risk; and interpretation.

5059

Maternal Serum AFP Includes AFP, neural tube defect risk, and interpretation.

91003

Methylmalonic Acid and Homocysteine (Nutritional & Congenital)

91002

Methylmalonic Acid, GC/MS/MS

90561

Organic Acids, Full Panel, Quantitative, Urine

90404

Organic Acids, Qualitative, Urine

15934

Penta Screen Includes AFP; hCG; uE3; inhibin A; h-hCG; NTD, Down syndrome, and trisomy 18 risk; and interpretation.

Includes AFP; hCG; uE3; inhibin A; NTD, Down syndrome, and trisomy 18 risk; and interpretation.

16131

Sequential Integrated Screen, Part 11 Includes PAPP-A; hCG; NT; Down syndrome, and trisomy 18 risk; and interpretation.

3

Part 1. Tests Offered by Quest Diagnostics

Test Code

Test Name

Test Code

Test Name

16133

Sequential Integrated Screen, Part 21

90927

Chromosomal Microarray, Prenatal, ClariSure® Oligo-SNP

14591Z

Chromosome Analysis and AFP with Reflex to AchE, Fetal Hgb, Amniotic Fluid

14596

Chromosome Analysis, Blood

Includes AFP; hCG; uE3; inhibin A; PAPP-A from part 1; NTD, Down syndrome, and trisomy 18 risk; and interpretation.

18980

Chromosome Analysis, Blood with Reflex to Postnatal ClariSure® Oligo-SNP Array3

Steroid Panel, 21-Hydroxylase Deficiency/Stress1 (Panel components may be ordered separately.)

14592X

Chromosome Analysis, Chorionic Villus Sample

10708X

Chromosome Analysis, Follow-up

14595X

Chromosome Analysis, High Resolution

18983

Chromosome Analysis, High Resolution w/rfl to Postnatal ClariSure® Oligo-SNP Array

14597X

Chromosome Analysis, Mosaicism

16843

Chromosome Analysis, Neonatal Blood

14599Z

Chromosome Analysis, Sister Chromatid Exchange

14593X

Chromosome Analysis, Tissue

91126

Chromosome Analysis, Tissue w/ Reflex to Microarray, ClariSure® Oligo-SNP

14590X

Chromosomes Analysis, Amniotic Fluid

14598Z

Chromosomes, DEB Assay for Fanconi Anemia

14608X

FISH, Angelman2

40047

FISH, Chromosome-Specific Probe (x1), Follow-up Study2

37343X

FISH, Chromosome-Specific Probe2

Includes AFP; hCG; uE3; inhibin A; PAPP-A and NT from part 1; NTD, Down syndrome, and trisomy 18 risk; and interpretation.

16165

Serum Integrated Screen, Part 11 Includes PAPP-A.

16167

90397

Serum Integrated Screen, Part 21

Includes 17-hydroxyprogesterone (17180), androstenedione (17182), and cortisol (11281).

90392

Steroid Panel, Comprehensive1 (Panel components may be ordered separately.) Includes androstenedione (17182), corticosterone (6547X), cortisol (11281), cortisone (37098X), deoxycorticosterone (90973), 11-deoxycortisol (30543), DHEA (19894), 18-hydroxycorticosterone, 17-hydroxypregnenolone (8352), 17-hydroxyprogesterone (17180), pregnenolone (31493X), progesterone (17183), and total testosterone (15983).

90398

Steroid Panel, Congenital Adrenal Hyperplasia (CAH)1 (Panel components may be ordered separately.) Includes androstenedione (17182), cortisol (11281), deoxycorticosterone (90973), 11-deoxycortisol (30543), DHEA (19894), 17-hydroxypregnenolone (8352), 17-hydroxyprogesterone (17180), progesterone (17183), and total testosterone (15983).

90426

Steroid Panel, PCOS/CAH Differentiation1 (Panel components may be ordered separately.) Includes 11-deoxycortisol (30543), 17-hydroxyprogesterone (17180), androstenedione (17182), DHEA (19894), and total and free testosterone (36170).

7292

Triple Screen Includes AFP; hCG; uE3; NTD, Down syndrome, and trisomy 18 risk; and interpretation.

959

Tryptophan, LC/MS

902

Tyrosine

90559

Very Long Chain Fatty Acids

CYTOGENETICS—GENERAL 10225X

Cell Culture for Possible Additional Prenatal Studies

91426

Chromosomal Microarray, Oncology, ClariSure® Oligo-SNP, FFPE Use this test code when a product of conception specimen is formalin fixed and paraffin embedded. Please call the lab before submitting specimen.

90929

Chromosomal Microarray, POC, ClariSure® Oligo-SNP

16478

Chromosomal Microarray, Postnatal, ClariSure Oligo-SNP

4

Choose one of the following: chromosome-specific (1-22, X and Y) centromere or chromosome-specific (1-22, X and Y) painting.

14614X

FISH, Cri du chat2

14610X

FISH, DiGeorge, Velocardiofacial (VCFS)2

19045X

FISH, Duplication 15q11q132

16672X

FISH, Duplication 22q11.22

14615X

FISH, Kallmann2

14612X

FISH, Miller-Dieker2

36053

FISH, Neonatal Screen2 Includes chromosomes 13, 18, 21, X, and Y.

14605X

FISH, Prader Willi2

14604X

FISH, Prenatal Screen Includes enumeration of chromosomes 13, 18, 21, X, and Y.

®

14611X

FISH, Smith-Magenis2

14606X

FISH, SRY/X Centromere2

Test Code

Test Name

Test Code

Test Name

14609X

FISH, Williams2

19041X

FISH, EGFR2

14613X

FISH, Wolf-Hirschhorn2

16112X

FISH, Ewing/PNET, EWSR1, 22q12 Rearrangements2

14607X

FISH, X-Linked Ichthyosis Steroid Sulfatase Deficiency2

90517

FISH, FGFR1, 8p11-122

17347X

FISH, Follicular Lymphoma, IGH/BCL2, t(14;18)2

19859

FISH, HER-2/neu with Reflex to IHC

14620X

FISH, HER-2/neu, Paraffin Block

16837

FISH, HES/Leukemia, 4q12 Rearrangement (FIP1L1-PDGFRA)2

91606

FISH, High-Grade Lymphoma Panel2

16593X

FISH, Lymphoid Disorder MYB, del 6q232

40056X

FISH, MALT Lymphoma, API2/MALT1, t(11;18)2

40053X

FISH, MALT Lymphoma, MALT1, 18q21 Rearrangement2

40057X

FISH, MALT Lymphoma, MALT1, rea18q21 with Reflex to API2/MALT1, t(11;18)2

CYTOGENETICS—ONCOLOGY-RELATED 10107X

Bladder Cancer, FISH

91027

Cervical Cancer, TERC, FISH2

90961

Chromosomal Microarray, Hematologic Malignancy, ClariSure® Oligo-SNP

91426

Chromosomal Microarray, Oncology, ClariSure® Oligo-SNP, FFPE

14601

Chromosome Analysis, CLL/LPD

14600X

Chromosome Analysis, Hematologic Malignancy

14602X

Chromosome Analysis, Lymph Node

14603X

Chromosome Analysis, Solid Tumor

17346X

FISH, Mantle Cell Lymphoma, IGH/CCND1, t(11;14)2

10969

ER/PR/DNA/HER2 w/Reflex to HER2 FISH, Paraffin Block

19799X

FISH, MDS/Myeloid Panel, -5/5q-, -7/7q-, +8, 20q2

10970

ER/PR/HER2 w/Reflex to HER2 FISH, Paraffin Block

91283

FISH, MET Amplification2

19856X

FISH, ALL, +4, +10, +172

36055X

FISH, MLL (11q23) Gene Rearrangement2

40050X

FISH, ALL, Extended Panel2

16077X

FISH, Multiple Myeloma, 13q-, 17p-, rea 14q322

Includes probes for the rearrangements 8q24(MYC), 9p21(p16;CDKN2A), 19p13.3(E2A:TCF3), t(12;21):TEL(ETV6)R, UNX1(AML1)fusion, 11q23(MLL), t(9;22)BCR/ABL1 fusion, 14q32(IGH), and numerical abnormalities of chromosomes 4, 10, and 17.

19619X

FISH, Multiple Myeloma, Chromosomes 5,9,152

16872

FISH, Multiple Myeloma, IGH/FGFR3, t(4;14)2

16965

FISH, Multiple Myeloma, IGH/MAF, t(14;16)2

FISH, ALL, Pre-B Panel

14621X

FISH, MYCN Amplification, Neuroblastoma2

19722X

FISH, Myeloma, 13q, 14q, 17p w/reflex to 5,9,152

90665

FISH, Myeloproliferative Neoplasms (Eosinophilia)2

16851

FISH, NHL, BCL6 3q27 Rearrangement2

16115X

FISH, Oligodendroglioma, 1p/19q2

90510

FISH, PDGFRB, 5q33.12

16076

FISH, Prostate Cancer2

90513

FISH, T-cell Receptor alpha/delta, 14q11.22

Includes selected markers for chromosomes 6, 11, 12, 13, and 17.

90512

FISH, TCL1, 14q32.12

17348X

FISH, B-Cell Malignancy, IGH, 14q32 Rearrangement2

14619X

FISH, X/Y, Post Opposite Sex Bone Marrow Transplant

17352X

FISH, Burkitt's/NHL/ALL, IGH/MYC, t(8;14)2

15547

HER-2, IHC with Reflex to FISH

10055X

FISH, Chromosome 20q Deletion

91028

12070X

FISH, CML/ALL, BCR/ABL Translocation 9;222

Lung Cancer (NSCLC), ALK 2p23 Rearrangement, FISH

40052X

2

Includes 11q (MLL), 4, 10, 17, t(9;22), and t(12;21).

90511

FISH, ALL, TCF3/PBX1, t(1;19)(q23.3;p13.3)2

14618X

FISH, ALL, TEL/AML1 Translocation 12;212

14706X

FISH, ALL/NHL, MYC-BA, 8q24 Rearrangement2

14617X

FISH, AML M3, PML/RARA, Translocation 15;172

10106X

FISH, AML, AML1/ETO Translocation 8;212

10635X

FISH, AML, CBFB/MYH11, Inversion 162

16864

FISH, B-Cell Chronic Lymphocytic Leukemia Panel2

2

5

Part 1. Tests Offered by Quest Diagnostics

Test Code

Test Name

Test Code

91836

Lung Cancer (NSCLC), ROS1 (6q22) Rearrangement, FISH

91216

Lung Cancer Mutation Panel (EGFR, KRAS, ALK)

MOLECULAR GENETICS—ONCOLOGY 2

Includes epidermal growth factor receptor (EGFR) mutation analysis, KRAS mutation analysis, and ALK 2p23 rearrangement (FISH).

91427

Melanoma, Chromosomal Microarray, ClariSure® Oligo-SNP

MOLECULAR GENETICS—ENDOCRINOLOGY 91680

CAH (21-Hydroxylase Deficiency) Common Mutations, Fetal Cells

14755X

CAH (21-Hydroxylase Deficiency) Common Mutations1

16072X

CAH (21-Hydroxylase Deficiency) Rare Mutations1

36587X

MEN2 and FMTC Mutations, Exons 10, 11, 13-161

16053X

Resistance to Thyroid Hormone (RTH) Mutation Analysis1

MOLECULAR GENETICS— INTELLECTUAL DISABILITY/AUTISM 16300

Fragile X DNA Analysis, Fetus

16612

HEXA Mutation Analysis, Gene Sequencing1

1

Includes sequencing of the entire coding region, the intron-exon splice sites, and the promoter region of the HEXA gene. Consider common mutation testing (Tay-Sachs Disease Mutation Analysis) prior to, or concurrently with, this test. Hexosaminidase testing should also be considered before or concurrently with this test.

90899

Mucolipidosis Type IV Mutation Analysis

16152X

Phenylketonuria (PKU) Mutation Analysis1

11369

Prader-Willi/Angelman Syndrome, DNA Methylation Analysis1

15088X

Rett Syndrome Mutation Analysis1

16662

Rett Syndrome Rearrangement (Deletion or Duplication)1

90903

Tay-Sachs Disease Mutation Analysis

1

Includes HEXA gene analysis for 1278insTATC, delta7.6kb, G269S, IVS9+1G>A, IVS12+1G>C, and R178H mutations and the R247W pseudodeficiency allele. Consider hexosaminidase testing before or concurrently with this test.

XSense®, Fragile X with Reflex and Chromosome Analysis, Blood1 Includes a reflex to Southern blot when PCR result is either not normal or gray zone.

16313

XSense®, Fragile X with Reflex1 Includes a reflex to Southern blot when PCR result is either not normal or gray zone.

6

16930

APC Gene Deletion or Duplication1

16934

APC Gene Sequencing1

91864

BRCAvantage™, Ashkenazi Jewish Screen

92140

BRCAvantage™, Ashkenazi Jewish Screen w/Reflex BRCAvantage™, Comprehensive

91863

BRCAvantage™, Comprehensive

91866

BRCAvantage™, Rearrangement

91865

BRCAvantage™, Single Site

91461

Lynch Syndrome Panel1 Includes mutation testing of MLH1, MSH2, MSH6, PMS2, and 3′-EPCAM deletion, using a blood specimen.

91332 91333

Lynch Syndrome Tumor Panel, IHC

14989X

Lynch Syndrome, Microsatellite Instability (MSI)1

91584

Lynch Syndrome, MLH1 Familial Deletion/ Duplication1

14984

Lynch Syndrome, MLH1 Familial Point Mutation1

91460

Lynch Syndrome, MLH1 Sequencing and Deletion/ Duplication1

70196X 16967

Lynch Syndrome, MLH1, IHC

91459

Lynch Syndrome, MSH2 Familial Deletion/ Duplication (Including EPCAM)1

14981

Lynch Syndrome, MSH2 Familial Point Mutation1

91471

Lynch Syndrome, MSH2 Sequencing and Deletion/ Duplication (Including EPCAM)1

70197X 16971

Lynch Syndrome, MSH2, IHC

91230

Lynch Syndrome, MSH6 Familial Deletion/ Duplication1

14983

Lynch Syndrome, MSH6 Familial Point Mutation1

91458

Lynch Syndrome, MSH6 Sequencing and Deletion/ Duplication1

16938 16252

Lynch Syndrome, MSH6, IHC

91463

Lynch Syndrome, PMS2 Familial Deletion/ Duplication1

91457

Lynch Syndrome, PMS2 Sequencing and Deletion/ Duplication1

1

Phenylalanine testing should be considered before or concurrently with this test.

16326

Test Name

Includes MLH1, MSH2, MSH6, PMS2, and microsatellite instability.

Test Code

Test Name

Test Code

Test Name

16997 16254

Lynch Syndrome, PMS2, IHC

14974

Beta-Globin Complete1

36587X

MEN2 and FMTC Mutations, Exons 10, 11, 13-16

16346

Beta-Globin Gene Dosage Analysis1

90872

Bloom Syndrome DNA Mutation Analysis1

90905

Canavan Disease Mutation Analysis1

15053X

CFTR Intron 8 Poly-T Analysis1

1

MOLECULAR GENETICS— PHARMACOGENOMICS 16924

AccuType® CP, Clopidogrel CYP2C19 Genotype1

92068

CFvantage™ Cystic Fibrosis Expanded Screen1

90251

AccuType® IL28B1

10917X

91416

AccuType Ribavirin

Cystic Fibrosis Complete Rare Mutation Analysis, Entire Gene Sequence1

16160X

AccuType® Warfarin1

15335X

Cystic Fibrosis D1152H Mutation Analysis1

16176X

Beta2-Adrenergic Receptor Mutations1

10226X

Cystic Fibrosis DNA Analysis, Fetus

16605

CYP2C19 Genotyping

16080X

Cystic Fibrosis Gene Deletion or Duplication2

11294X

Cytochrome P450 2C9 Genotype1

17726X

Cystic Fibrosis Mutation Screen with Reflex to CF Complete (Clinics Only)1

10490

Cytochrome P450 2D6 Genotype1

10913X

Cystic Fibrosis Rare Mutation Analysis, One Exon2

17634X

Cytochrome P450 2D6/2C19 Genotyping

10915X

Cystic Fibrosis Rare Mutation Analysis, Two Exon2

15538X

Dihydropyrimidine Dehydrogenase (DPD) Gene Mutation Analysis1

10458

Cystic Fibrosis Screen

16859

PDGFRA Mutation Analysis1

90912

Familial Dysautonomia Mutation Analysis1

16897

PIK3CA Mutation Analysis1

16141X

Familial Mediterranean Fever Mutation Analysis1

16731

Tamoxifen P450 Genotyping

90897

Fanconi Anemia DNA Mutation Analysis1

37742Z

TPMT Genotype1

16300

Fragile X DNA Analysis, Fetus1

17813X

UGT1A1 Gene Polymorphism (TA Repeat)1

90907

Gaucher Disease, DNA Mutation Analysis1

16959

VEGF Polymorphism Analysis1

90915

Glycogen Storage Disease Type Ia Mutation Analysis (Ashkenazi Jewish)1

16612

HEXA Mutation Analysis, Gene Sequencing1

®

1

MOLECULAR GENETICS— PRENATAL/REPRODUCTIVE 16061X

Achondroplasia Mutation Analysis1

91711

Alpha-Globin Common Mutation Analysis, Fetus

11175

Alpha-Globin Common Mutation Analysis1

16124X

Alpha-Globin Gene Deletion or Duplication1

16116X

Alpha-Globin Gene Sequencing

90891

Ashkenazi Jewish Panel (11 Tests)1

90994

91709

Includes sequencing of the entire coding region, the intron-exon splice sites, and the promoter region of the HEXA gene. Common mutation testing (Tay-Sachs Disease Mutation Analysis) must be performed prior to, or concurrently with, this test. Hexosaminidase enzyme carrier screening should also be considered before or concurrently with this test.

90909

Maple Syrup Disease (MSUD) Mutation Analysis (Ashkenazi Jewish)1

90899

Mucolipidosis Type IV Mutation Analysis1

90893

Niemann-Pick Disease Mutation Analysis1

16152X

Phenylketonuria (PKU) Mutation Analysis1

Includes mutations associated with Bloom syndrome, Canavan disease, cystic fibrosis, Gaucher disease, glycogen storage disease, familial dysautonomia, Fanconi anemia, MSUD Jewish mutation, mucolipodosis type IV, Niemann-Pick disease, and Tay-Sachs disease.

90949

Prenatal Carrier Screen (CF, Fragile X, SMA)1

92777

QNatal™ Advanced Noninvasive Prenatal Screen

Ashkenazi Jewish Panel (4 Tests)1

26382X

Sickle Cell Anemia, DNA Probe Analysis, Fetus1

Includes mutations associated with Canavan disease, cystic fibrosis, familial dysautonomia, and Tay-Sachs disease.

18041

SMA Carrier Screen1

Beta-Globin Complete, Fetus

16869

SMA Diagnostic Test1

7

Part 1. Tests Offered by Quest Diagnostics

Test Code

Test Name

Test Code

Test Name

90903

Tay-Sachs Disease Mutation Analysis1

35079

Hereditary Hemochromatosis DNA Mutation Analysis1

16612

HEXA Mutation Analysis, Gene Sequencing1

Includes HEXA gene analysis for 1278insTATC, delta7.6kb, G269S, IVS9+1G>A, IVS12+1G>C, and R178H mutations and the R247W pseudodeficiency allele. Consider hexosaminidase enzyme carrier screening before or concurrently with this test.

16326

XSense , Fragile X with Reflex and Chromosome Analysis, Blood1 Includes a reflex to Southern blot when PCR result is either not normal or gray zone.

16313

Includes sequencing of the entire coding region, the intron-exon splice sites, and the promoter region of the HEXA gene. Consider common mutation testing (Tay-Sachs Disease Mutation Analysis) prior to, or concurrently with, this test. Hexosaminidase testing should also be considered before or concurrently with this test.

®

XSense®, Fragile X with Reflex1 Includes a reflex to Southern blot when PCR result is either not normal or gray zone.

MOLECULAR GENETICS—OTHER

10247X

Huntington Disease Mutation Analysis1

11244

Long Chain Acyl-CoA Dehydrogenase (LCHAD) Mutation Analysis1

16155X

Macular Degeneration Mutation Analysis1

90909

Maple Syrup Disease (MSUD) Mutation Analysis (Ashkenazi Jewish)1

16533X

19911A>G Mutation Analysis1

15340X

Alpha-1 Antitrypsin (AAT) Mutation Analysis1

91284

17307X

Alpha-1-Antitrypsin (AAT) Quantitation and Mutation Analysis1

Medium Chain Acyl-CoA Dehydrogenase (MCAD) Gene Sequencing1

11176X

11175

Alpha-Globin Common Mutation Analysis1

Medium Chain Acyl-CoA Dehydrogenase (MCAD) Mutation Analysis1

16124X

Alpha-Globin Gene Deletion or Duplication1

17911

Methylenetetrahydrofolate Reductase (MTHFR), DNA Mutation Analysis2

16116X

Alpha-Globin Gene Sequencing

90899

Mucolipidosis Type IV Mutation Analysis1

11210X

Angiotensin Converting Enzyme (ACE) Polymorphism (Insertion/Deletion)1

90893

Niemann-Pick Disease Mutation Analysis1

11118X

Angiotensin II Type 1 Receptor (AGTR1) Gene 1166A>C Polymorphism1

16152X

Phenylketonuria (PKU) Mutation Analysis1

11368

Plasminogen Activator Inhibitor-1 (PAI-1) 4G/5G1

16182X

Beta-fibrinogen -455G>A Mutation1

17909

14974

Beta-Globin Complete1

Prothrombin (Factor II) 20210G>A Mutation Analysis2

16346

Beta-Globin Gene Dosage Analysis1

90903

Tay-Sachs Disease Mutation Analysis1

16537X

Biotinidase Activity with Reflex to Mutation Analysis1

16526X

Biotinidase Deficiency Mutation Analysis1

15053X

CFTR Intron 8 Poly-T Analysis1

38956X

CKR-5 Gene, DNA Mutation Analysis

17904

Factor V (Leiden) Mutation Analysis w/Reflex to HR2 Mutation Analysis2

17900

Factor V (Leiden) Mutation Analysis2

10905

Factor V HR2 Allele DNA Mutation Analysis1

Includes HEXA gene analysis for 1278insTATC, delta7.6kb, G269S, IVS9+1G>A, IVS12+1G>C, and R178H mutations and the R247W pseudodeficiency allele. Consider hexosaminidase testing before or concurrently with this test.

17907X

Thrombophilia DNA Mutation Analysis2 Includes factor V (Leiden) and prothrombin (factor II) 20210G>A mutation analyses.

11126

Thrombophilia Mutation Analysis with Reflex to HR2 Mutation Analysis2 Includes factor V (Leiden) and prothrombin (factor II) 20210G>A mutation analyses with reflex to factor V HR2 mutation analysis.

11327

Thrombophilia Screen II, Inherited2 (Panel components may be ordered separately.) Includes antithrombin III activity (216), factor V (Leiden) mutation with reflex to factor V HR2 mutation (17904), protein C activity (1777), free protein S (10170), and prothrombin (factor II) 20210G>A mutation (17909).

Invader® assay/signal amplification.

17902X

Factor V HR2 Allele DNA Mutation Analysis2

16023X

Factor XI Mutation Analysis (Ashkenazi Jewish)1

17813X

UGT1A1 Gene Polymorphism (TA Repeat)1

16613X

Galactosemia Mutation Analysis1

19837X

von Willebrand Disease Mutation Analysis1

90828

Hemophilia A (Factor VIII) Inversions1

14679Z

Y Chromosome Microdeletion, DNA Analysis3

8

Test Code

Test Name

Test Code

Test Name

10262

Maternal Cell Contamination Study, STR Analysis3

OTHER GENETIC TESTS

825

Sickle Cell Screen

513X

Fetal Hemoglobin, Whole Blood

37679X

511X

Hemoglobin A2, Quantitative

Sickle Cell Screen with Reflex to Hemoglobinopathy Evaluation

31852X

Hemoglobin S, Quantitative

10556X

Twin Zygosity3

35489

Hemoglobinopathy Evaluation Includes hemoglobin A, A2, F, and any variants (eg, C, E, S), RBC count, hemoglobin, hematocrit, MCV, MCH, and RDW.

1

This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute. Performance characteristics refer to the analytical performance of the test. 2

This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. 3

This test is performed using a kit that has not been approved or cleared by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics Nichols Institute. This test should not be used for diagnosis without confirmation by other medically established means. Reflex tests are performed at an additional charge.

9

Genetic Test Menu Part 2. Tests Offered by Athena Diagnostics Test Code

Test Name

Test Code

Test Name

880

CYP21A2 (CAH) Evaluation Includes sequencing and analysis for the 30kb deletion.

ENDOCRINOLOGY 827

ABCC8 (CH) DNA Sequencing

883

Early Onset Obesity (LEPR) DNA Sequencing

876

ABCC8 (NDM) DNA Sequencing

640

Early Onset Obesity (MC4R) DNA Sequencing

815

ABCD1 (Adrenoleukodystrophy) DNA Sequencing

884

Early Onset Obesity Evaluation

6108

ABCD1 (Neurology) DNA Sequencing

462

Anosmic Kallmann/IHH Evaluation Includes sequencing of the FGF8, FGFR1, GNRHR, KAL1, KISS1R, PROK2, and PROKR2 genes.

Includes sequencing of the LEPR and MC4R genes.

881

Endocrine Hypertension (HSD11B2) Evaluation Includes sequencing of the HSD11B2 gene.

829

Familial Hypocalciuric Hypercalcemia (CASR) DNA Sequencing

856

FGF23 (Hypophosphatemic Rickets) DNA Sequencing

195

FGF8 DNA Sequencing

196

FGFR1 DNA Sequencing

893

APOB Mutation Analysis

852

AQP2 (Nephrogenic Diabetes Insipidus) DNA Sequencing

812

Autoimmune Polyglandular Syndrome (AIRE) Evaluation

887

Bardet-Biedl Syndrome Evaluation

823

GCK (CH) DNA Sequencing

Includes sequencing of the BBS1, BBS2, and BBS10 genes.

803

GCK (MODY2) DNA Sequencing and Deletion

842

GCK (NDM) DNA Sequencing

866

GH1 (GHD) DNA Sequencing

867

GHR DNA Sequencing

868

GHRHR (GHD) DNA Sequencing

822

GLUD1 (CH) DNA Sequencing

343

GNRH1 DNA Sequencing

279

GNRHR DNA Sequencing

848

Growth Hormone Deficiency Evaluation

871

BBS1 (BBS) DNA Sequencing

886

BBS10 (BBS) DNA Sequencing

872

BBS2 (BBS) DNA Sequencing

837

CEL (MODY8) Mutation Analysis

461

CHD7 DNA Sequencing

861

COL1A1 (OI) DNA Sequencing

862

COL1A2 (OI) DNA Sequencing

865

Combined Pituitary Hormone Deficiency Evaluation Includes sequencing of the POU1F1 and PROP1 genes.

679

Includes sequencing of the CHD7, FGF8, FGFR1, GNRHR, GNRH1, KAL1, KISS1R, PROK2, PROKR2, and TACR3 genes.

879

Congenital Adrenal Hyperplasia (CAH) Evaluation Includes sequencing and deletion analysis of CYP21A2 and sequencing of CYP11B1.

819

Includes sequencing of the GH1, GHRHR, and SHOX genes and detection of deletions in the SHOX gene.

Complete Kallmann/IHH Evaluation

Congenital Hyperinsulinism Evaluation

802

HNF4A (MODY1) DNA Sequencing and Deletion

775

HSD11B2 DNA Sequencing

878

HSD3B2 DNA Sequencing Test

895

Hypercholesterolemia Evaluation Includes sequencing of the APOB and LDLR genes.

Includes sequencing of the ABCC8, GCK, GLUD1, and KCNJ11 genes.

875

CYP11B1 (CAH) DNA Sequencing Test

857

Includes sequencing of the FGF23 and PHEX genes.

Includes sequencing and analysis for the 30kb deletion.

774 877

10

Hypophosphatemic Rickets Evaluation

853

INS (NDM) DNA Sequencing

Includes sequencing of the CYP11B1 gene.

834

IPF1 (MODY4) DNA Sequencing Test

CYP17A1 DNA Sequencing Test

841

IPF1 (NDM) DNA Sequencing

173

KAL1 DNA Sequencing

CYP11B1 DNA Sequencing Test

Test Code

Test Name

Test Code

Test Name

826

KCNJ11 (CH) DNA Sequencing

855

843

KCNJ11 (NDM) DNA Sequencing

PHEX (Hypophosphatemic Rickets) DNA Sequencing

364

KISS1R DNA Sequencing

864

POU1F1 (CPHD) DNA Sequencing

664

KRAS DNA Sequencing

816

Primary Adrenal Insufficiency Evaluation

658

KRAS/RAF1/SOS1 DNA Sequencing Evaluation

175

PROK2 DNA Sequencing

894

LDLR (Hypercholesterolemia) DNA Sequencing

180

PROKR2 DNA Sequencing

747

Liddle's Syndrome Evaluation

863

PROP1 (CPHD) DNA Sequencing

748

Pseudohypoaldosteronism Type 1 Evaluation

Includes sequencing of the SCNN1B and SCNN1G genes.

874

Lipoid CAH (StAR) Evaluation

Includes sequencing of the ABCD1, AIRE, and NR0B1 genes.

Includes sequencing of the SCNN1A, SCNN1B, and SCNN1G genes.

Includes sequencing of the StAR gene.

663

RAF1 DNA Sequencing

772

SCNN1A DNA Sequencing

LRP5 (OPPG) DNA Sequencing

745

SCNN1B DNA Sequencing

817

Male Precocious Puberty (LHCGR) DNA Sequencing

746

SCNN1G DNA Sequencing

818

MEN1 (MEN1) DNA Sequencing

888

SDHB DNA Sequencing

813

MEN2 (RET) DNA Sequencing

847

SHOX (GHD) DNA Sequencing and Deletion

885

Monogenic Diabetes (MODY) Evaluation

662

SOS1 DNA Sequencing

358

TACR3 DNA Sequencing

804

TCF1 (MODY3) DNA Sequencing and Deletion

Monogenic Hypertension Evaluation

805

TCF2 (MODY5) DNA Sequencing and Deletion

Includes sequencing of the CYP11B1, HSD11B2, SCNN1B, and SCNN1G genes.

858

Von Hippel-Lindau Syndrome (VHL) Evaluation

821

LRP5 (Idiopathic Osteoporosis [IOP]) DNA Sequencing

811

Includes detection of mutations and deletions in the GCK, HNF1A (TCF1), HNF4A, and HNF1B (TCF2) genes and mutations in the IPF1 gene.

749

882

Includes sequencing of the VHL gene.

Neonatal Diabetes Mellitus Evaluation Includes sequencing of the ABCC8, GCK, INS, IPF1, and KCNJ11 genes.

851

Nephrogenic Diabetes Insipidus (AVPR2) DNA Sequencing

854

Nephrogenic Diabetes Insipidus Evaluation

NEPHROLOGY 711

ACTN4 DNA Sequencing

765

BSND DNA Sequencing

Includes sequencing of the AQP2 and AVPR2 genes.

825

CASR DNA Sequencing

846

Noonan Syndrome (PTPN11) DNA Sequencing

764

CLCNKB DNA Sequencing

667

Normosmic Kallmann/IHH Evaluation

757

COL4A3 DNA Sequencing

Includes sequencing of the FGFR1, GNRHR, GNRH1, KISS1R, PROK2, PROKR2, and TACR3 genes.

758

COL4A4 DNA Sequencing

756

COL4A5 Deletion Analysis

755

COL4A5 Sequencing and Deletion Analysis

759

Complete Alport Syndrome Evaluation

814

NR0B1 (Adrenal Hypoplasia Congenita) DNA Sequencing

860

Osteogenesis Imperfecta Evaluation Includes sequencing of the COL1A1 and COL1A2 genes.

889

Pheochromocytoma Evaluation

Includes sequencing of the COL4A3, COL4A4, and COL4A5 genes and detection of deletions in COL4A5.

Includes sequencing of the RET, SDHB, and VHL genes.

11

Part 2. Tests Offered by Athena Diagnostics

Test Code

Test Name

761

Complete PKD Evaluation Includes sequencing of the PKD1 and PKD2 genes and detection of deletions in both genes.

Test Code

Test Name

NEUROLOGY—CEREBROVASCULAR DISORDERS

779

CYP11B1/2 DNA Chimeric Gene Fusion

685

CCM2 Deletion Analysis

722

Early Onset Nephrotic Syndrome Evaluation

684

CCM2 DNA Sequencing

686

CCM2 Evaluation

Includes sequencing of the LAMB2, NPHS1, NPHS2, PLCE1, and WT1 genes.

770

Hereditary Interstitial Kidney Disease Includes sequencing of the UMOD gene.

767

Hereditary Renal Tubular Disorders Evaluation Includes sequencing of the BSND, CLCNKB, KCNJ1, SLC12A1, and SLC12A3 genes.

Includes sequencing and deletion analysis of the CCM2 gene.

424

COL4A1 DNA Sequencing Test (CSVD)

421

Complete CADASIL Evaluation Includes sequencing of the NOTCH3 gene.

692

Complete Cerebral Cavernous Malformation (CCM) Evaluation

776

HNF1B DNA Sequencing and Deletion Evaluation

775

HSD11B2 DNA Sequencing

716

INF2 (FSGS) DNA Sequencing

442

HTRA1 DNA Sequencing Test (CARASIL)

717

Inherited Focal and Segmental Glomerulosclerosis (FSGS) Evaluation

682

KRIT1 (CCM1) Deletion Analysis

681

KRIT1 (CCM1) DNA Sequencing

683

KRIT1 (CCM1) Evaluation

Includes sequencing of the ACTN4, INF2, NPHS2, and TRPC6 genes.

763

KCNJ1 DNA Sequencing

714

LAMB2 DNA Sequencing

747

Liddle's Syndrome Evaluation Includes sequencing of the SCNN1B and SCNN1G genes.

750

NPH1 (FJN) Molecular Analysis

Includes sequencing and deletion analysis of the CCM2, KRIT1, and PDCD10 genes.

Includes sequencing and deletion analysis of the KRIT1 gene.

688

PDCD10 (CCM3) Deletion Analysis

687

PDCD10 (CCM3) DNA Sequencing

689

PDCD10 (CCM3) Evaluation Includes sequencing and deletion analysis of the PDCD10 gene.

Includes detection of homozygous deletions in the NPHP1 gene.

730

NPHS1 (Nephrin) Sequencing Analysis

710

NPHS2 (Podocin) Sequencing Analysis

760

PKD Deletion Analysis

NEUROLOGY—DEMENTIA 178

Includes APOE genotyping and concentrations of phosphorylated tau protein, total tau protein, and β-amyloid 42.

Includes detection of deletions in the PKD1 and PKD2 genes.

728

PKDx® Familial Mutation Evaluation Includes detection of the familial polycystic kidney disease mutation only.

725

PKDx® Sequencing Analysis Includes sequencing of the PKD1 and PKD2 genes.

718

PLCE1 DNA Sequencing

748

Pseudohypoaldosteronism Type 1 Evaluation

ADmark® Alzheimer's Evaluation

109

ADmark® APOE Genotype Analysis and Interpretation (Symptomatic)

168

ADmark® APP DNA Sequencing/Duplication

179

ADmark® Early Onset Alzheimer's Evaluation Includes sequencing of the APP, PS-1 (PSEN1), and PS-2 (PSEN2) genes and detection of duplications in the APP gene.

177

ADmark® Phospho-Tau/Total-Tau/Ab42 CSF Analysis and Interpretation (Symptomatic)

Includes sequencing of the SCNN1A, SCNN1B, and SCNN1G genes.

772

SCNN1A DNA Sequencing

167

ADmark® PS-1 DNA Sequencing

745

SCNN1B DNA Sequencing

169

ADmark® PS-2 DNA Sequencing

746

SCNN1G DNA Sequencing

209

C9orf72 (FTD) DNA

762

SLC12A1 DNA Sequencing

281

Frontotemporal Dementia Evaluation

766

SLC12A3 DNA Sequencing

712

TRPC6 DNA Sequencing

204

GRN DNA Sequencing

713

WT1 DNA Sequencing

205

MAPT DNA Sequencing

12

Includes sequencing of GRN and MAPT genes and detection of expansions in the C9orf72 gene.

Test Code

Test Name

Test Code

Test Name

5001

Epilepsy Advanced Sequencing Evaluation— Generalized, Absence, Focal, and Myoclonic Epilepsies

NEUROLOGY—EPILEPSY 549

Alexander Disease (GFAP) DNA Sequencing

141

ARX DNA Sequencing

065

ARX Duplication/Deletion (Epilepsy)

797

ARX Evaluation (Epilepsy) Includes sequencing and duplication/deletion analysis of the ARX gene.

067

CDKL5 Duplication/Deletion (Epilepsy)

799

CDKL5 Evaluation (Epilepsy)

Includes sequencing of 36 genes: ALDH7A1, CACNA1A, CASR, CHRNA2, CHRNA4, CHRNB2, CSTB, DEPDC5, EFHC1, EPM2A, GABRA1, GABRB3, GABRD, GABRG2, GRIN2A, KCNMA1, KCNQ2, KCNQ3, KCNT1, KCTD7, LGI1, MBD5, ME2, NHLRC1, PCDH19, PRICKLE1, PRICKLE2, PRRT2, SCARB2, SCN1A, SCN1B, SCN2A, SCN9A, SLC2A1, SLC4A10, and TBC1D24.

5008

Includes sequencing of 10 genes: ARX, CDKL5, FOXG1, GABRB3, GRIN2A, MEF2C, SCN2A, SLC25A22, SPTAN1, and STXBP1.

5005

Includes sequencing and analysis for duplications and deletions in the CDKL5 gene.

573

Complete SCN1A Evaluation Includes sequencing and deletion analysis of the SCN1A gene.

556

5003

Complete Tuberous Sclerosis Evaluation

5006

5007

Epilepsy Advanced Sequencing Evaluation— Epilepsy with Migraine

Epilepsy Advanced Sequencing Evaluation Includes sequencing of 141 genes: ALDH7A1, ARFGEF2, ARHGEF9, ARX, ATP1A2, ATP2A2, ATP6AP2, ATP6V0A2, ATRX, CACNA1A, CASK, CASR, CCDC88C, CDKL5, CHRNA2, CHRNA4, CHRNB2, CLCNKA, CLCNKB, CLN3, CLN5, CLN6, CLN8, CNTNAP2, VPS13B, COL18A1, COL4A1, CPT2, CSTB, CTSD, CUL4B, OFD1, DCX, DEPDC5, DNAJC5, EFHC1, EMX2, EPM2A, FGD1, FGFR3, FKRP, FKTN, FLNA, FOXG1, GABRA1, GABRB3, GABRD, GABRG2, GPC3, GPR56, GRIA3, GRIN2A, HSD17B10, KDM5C, KCNA1, KCNJ1, KCNJ10, KCNMA1, KCNQ2, KCNQ3, KCNT1, KCTD7, KIAA1279, LAMA2, LARGE, LBR, LGI1, MBD5, ME2, MECP2, MEF2C, MFSD8, MLL2, NHLRC1, NIPBL, NOTCH3, NRXN1, OPHN1, PAFAH1B1, PAK3, PANK2, PAX6, PCDH19, PEX7, PHF6, SERPINI1, PIGV, PLA2G6, PLP1, PNKP, POLG, POMGNT1, POMT1, POMT2, PPT1, PQBP1, PRICKLE1, PRICKLE2, PRRT2, RAB39B, RAB3GAP1, RAI1, RELN, RNASEH2A, RNASEH2B, RNASEH2C, SAMHD1, SCARB2, SCN1A, SCN1B, SCN2A, SCN8A, SCN9A, SETBP1, SLC25A22, SLC2A1, SLC4A10, SLC9A6, SMC1A, SMC3, SMS, SNAP29, SPTAN1, SRPX2, STXBP1, SYNGAP1, SYP, TBC1D24, TBX1, TCF4, TPP1, TREX1, TSC1, TSC2, TUBA1A, TUBA8, TUBB2B, UBE3A, VPS13A, WDR62, and ZEB2.

5004

Epilepsy Advanced Sequencing Evaluation— Epilepsy in X-Linked Intellectual Disability Includes sequencing of 27 genes: ARHGEF9, ARX, ATP6AP2, ATRX, CASK, CDKL5, CUL4B, DCX, FGD1, GPC3, GRIA3, HSD17B10, KDM5C, MECP2, OFD1, OPHN1, PAK3, PCDH19, PHF6, PLP1, PQBP1, RAB39B, SLC9A6, SMC1A, SMS, SRPX2, and SYP.

5002

Epilepsy Advanced Sequencing Evaluation— Epileptic Encephalopathies Includes sequencing of 31 genes: ARHGEF9, ARX, CDKL5, CNTNAP2, FOXG1, GABRG2, GRIN2A, KCNT1, MECP2, NRXN1, PCDH19, PNKP, RNASEH2A, RNASEH2B, RNASEH2C, SAMHD1, SCN1A, SCN1B, SCN2A, SCN8A, SCN9A, SLC25A22, SLC2A1, SLC9A6, SPTAN1, STXBP1, SYNGAP1, TCF4, TREX1, UBE3A, and ZEB2.

Epilepsy Advanced Sequencing Evaluation— Syndromic Disorders Includes sequencing of 26 genes: ATP2A2, ATP6V0A2, CCDC88C, CLCNKA, CLCNKB, VPS13B, KCNA1, KCNJ1, KCNJ10, KIAA1279, LBR, LGI1, MLL2, NIPBL, PANK2, SERPINI1, PIGV, PLA2G6, RAI1, SETBP1, SMC3, SYNGAP1, TBX1, TSC1, TSC2, and VPS13A.

Includes sequencing of 7 genes: ATP1A2, CACNA1A, NOTCH3, POLG, PRRT2, SCN1A, and SLC2A1.

5000

Epilepsy Advanced Sequencing Evaluation— Neuronal Migration Disorders Includes sequencing of 29 genes: ARFGEF2, ARX, COL18A1, COL4A1, CPT2, DCX, EMX2, FGFR3, FKRP, FKTN, FLNA, GPR56, LAMA2, LARGE, PAFAH1B1, PAX6, PEX7, POMGNT1, POMT1, POMT2, PQBP1, RAB3GAP1, RELN, SNAP29, SRPX2, TUBA1A, TUBA8, TUBB2B, and WDR62.

CSTB (EPM1) Evaluation Includes sequencing and detection of expansions in the CSTB (EPM1) gene.

Epilepsy Advanced Sequencing Evaluation— Neuronal Ceroid Lipofuscinosis Includes sequencing of 10 genes: CLN3, CLN5, CLN6, CLN8, CTSD, DNAJC5, KCTD7, MFSD8, PPT1, and TPP1.

Includes sequencing and deletion analysis of the TSC1 and TSC2 genes.

674

Epilepsy Advanced Sequencing Evaluation— Infantile Spasms

410

EPM1 DNA Includes detection of dodecamer expansions in the CSTB gene.

518

MERRF mtDNA Evaluation Includes detection of a point mutation in each of the MT-TH, MTTK, MT-TL1, MT-TS1 genes in mitochondrial DNA.

443

POLG DNA Sequencing (Alpers' Syndrome)

537

SCN1A Deletion

523

TSC Familial Mutation Evaluation Includes detection of the familial tuberous sclerosis mutation only.

508

TSC1 Deletion Analysis

521

TSC1 DNA Sequencing

524

TSC2 DNA Deletion

522

TSC2 DNA Sequencing

NEUROLOGY—INTELLECTUAL DISABILITY/ AUTISM 790

AHI1 DNA Sequencing (Joubert Syndrome)

141

ARX DNA Sequencing

041

ARX Duplication/Deletion (Intellectual Disability)

13

Part 2. Tests Offered by Athena Diagnostics

Test Code

Test Name

773

ARX Evaluation (Intellectual Disability) Includes sequencing and duplication/deletion analysis of the ARX gene.

Test Code

Test Name

NEUROLOGY—LEUKODYSTROPHY

784

ASPM DNA Sequencing

815

ABCD1 (Adrenoleukodystrophy) DNA Sequencing

794

CC2D2A DNA Sequencing (Joubert Syndrome)

6108

ABCD1 (Neurology) DNA Sequencing

149

CDKL5 DNA Sequencing

6107

ARSA DNA Sequencing

049

CDKL5 Duplication/Deletion (Intellectual Disability)

6101

EIF2B1 DNA Sequencing

6102

EIF2B2 DNA Sequencing

CDKL5 Evaluation

6103

EIF2B3 DNA Sequencing

6104

EIF2B4 DNA Sequencing

785

Includes sequencing and duplication/deletion analysis of the CDKL5 gene.

791

CEP290 DNA Sequencing Test (Joubert Syndrome)

6105

EIF2B5 DNA Sequencing

729

Cohen Syndrome (COH1) DNA Sequencing

6109

GJC2 DNA Sequencing

153

Complete Rett Syndrome Evaluation

6106

Leukoencephalopathy with Vanishing White Matter

Includes sequencing and duplication/deletion analysis of the MECP2 gene.

Includes sequencing of the EIF2B1, EIF2B2, EIF2B3, EIF2B4, and EIF2B5 genes.

074

FOXG1 Deletion

6112

PLP1 DNA Sequencing

740

FOXG1 DNA Sequencing

6111

PLP1 Duplication

7410

FOXG1 Evaluation

6110

PLP1 Evaluation

Includes sequencing and deletion analysis of the FOXG1 gene.

795

Includes sequencing and duplication analysis of the PLP1 gene.

Joubert Syndrome Evaluation Includes sequencing of the AHI1, CC2D2A, CEP290, TMEM67, and TMEM216 genes and deletion analysis of the NPHP1 gene.

NEUROLOGY—MITOCHONDRIAL DISORDERS

786

MCPH1 DNA Sequencing

466

077

MEF2C Deletion

ANT1 (SLC25A4) DNA Sequencing (related to mtDNA depletion)

754

MEF2C DNA Sequencing

575

Common Mitochondrial Disorders Evaluation

7540

MEF2C Evaluation Includes sequencing and deletion analysis of the MEF2C gene.

793

NPHP1 Deletion (Joubert Syndrome)

788

Primary Microcephaly Evaluation

Includes restriction fragment polymorphism analysis of the MT-ATP6, MT-ND1, MT-ND5, MT-TH, MT-TK, MT-TL1, MT-TS1, and MT-TV genes and sequencing of the POLG gene.

487

DGUOK DNA Sequencing (related to mtDNA depletion)

517

MELAS mtDNA Evaluation

Includes sequencing of the ASPM, MCPH1, and WDR62 genes.

744

PTEN DNA Sequencing

142

Rett Syndrome (MECP2) DNA Sequencing

148

Rett Syndrome (MECP2) Duplication/Deletion Analysis

724

SHANK2 DNA Sequencing

742

SHANK3 DNA Sequencing

737

Smith-Lemli-Opitz Syndrome (DHCR7) DNA Sequencing

771

SYNGAP1 DNA Sequencing

789

TMEM216 DNA Sequencing (Joubert Syndrome)

792

TMEM67 DNA Sequencing (Joubert Syndrome)

787

WDR62 DNA Sequencing

14

Includes restriction fragment polymorphism analysis of the MTND1, MT-ND5, MT-TH, MT-TL1, and MT-TV genes.

579

Mitochondrial Encephalomyopathic Evaluation Includes sequencing of the POLG, RRM2B, and TK2 genes.

578

Mitochondrial Hepatoencephalopathic Evaluation Includes sequencing of the DGUOK, MPV17, POLG, TWINKLE (PEO1/C10orf2) genes.

577

Mitochondrial Neurogastrointestinal Encephalopathy Evaluation (MNGIE) Includes sequencing of the RRM2B and TYMP genes and restriction fragment polymorphism analysis of the MT-ND1, MTND5, MT-TH, MT-TL1, and MT-TV genes.

488

MPV17 DNA Sequencing (related to mtDNA depletion)

469

OPA1 DNA Sequencing (related to mtDNA depletion)

824

PDHA1 DNA Sequencing

Test Code

Test Name

Test Code

Test Name

474

POLG DNA Sequencing (related to all allelic disorders)

533

KIAA0196 (SPG8) DNA Sequencing

576

Progressive External Ophthalmoplegia Evaluation

613

KIF5A (SPG10) DNA Sequencing

532

NIPA1 (SPG6) DNA Sequencing

609

OPTN DNA Sequencing

632

Paraplegin (SPG7) DNA Sequencing

665

REEP1 (SPG31) Deletion Analysis

529

REEP1 (SPG31) DNA Sequencing

214

SMA Plus (Reflexive)

Includes sequencing of the ANT1 (SCL25A4), OPA1, POLG, TWINKLE (PEO1/C10orf2) genes and restriction fragment polymorphism analysis of the MT-ND1, MT-ND5, MT-TH, MT-TL1, and MT-TV genes.

486

RRM2B DNA Sequencing (related to mtDNA depletion)

489

TK2 DNA Sequencing (related to mtDNA depletion)

479

TWINKLE (PEO1/C10orf2) DNA Sequencing (related to mtDNA depletion)

484

TYMP DNA Sequencing Test (related to mtDNA depletion)

NEUROLOGY—MOTOR NEURON DISORDERS

Includes deletion analysis of the SMN1 gene. If an SMN1 deletion is detected on only 1 allele, sequencing of the SMN1 and SMN2 genes will be performed at an additional charge.

211

SMN DNA Sequencing Includes sequencing of the SMN1 and SMN2 genes.

534

Spastin (SPG4) Deletion

530

Spastin (SPG4) DNA Sequencing

614

Spastizin (ZFYVE26) DNA Sequencing (SPG15)

622

ANG DNA Sequencing

531

Atlastin (SPG3A) DNA Sequencing

633

Spatacsin (SPG11) DNA Sequencing

653

Autosomal Dominant Hereditary Spastic Paraplegia Evaluation

444

Spinal Muscular Atrophy Carrier Test

Includes detection of mutations in the SPG3A, SPG4, NIPA1 (SPG6), KIAA0196 (SPG8), KIF5A (SPG10), REEP1 (SPG31), and BSCL2 (SPG17) genes.

111D

Autosomal Recessive Hereditary Spastic Paraplegia Evaluation

212

Spinal Muscular Atrophy with Respiratory Distress (SMARD)—IGHMBP2 DNA Sequencing

654

Includes sequencing of the CYP7B1 (SPG5A), SPG7, SPG11, and SPG15 genes.

Includes deletion analysis of the SMN1 and SMN2 genes.

Spinal Muscular Atrophy Diagnostic Test Includes deletion analysis of the SMN1 and SMN2 genes.

621

TARDBP DNA Sequencing

631

BSCL2 DNA Sequencing

611

UBQLN2 DNA Sequencing

670

C9orf72 DNA

610

VCP DNA Sequencing

213

X-Linked Spinal Muscular Atrophy (XLSMA)—UBE1 DNA Sequencing

Includes analysis for repeat expansions in the C9orf72 gene.

643

Complete ALS Evaluation Includes sequencing of the ANG, FIG4, FUS, OPTN, SOD1, TARDBP, UBQLN2, and VCP genes and analysis for repeat expansions in the C9orf72 gene.

655

Complete Hereditary Spastic Paraplegia Evaluation Includes sequencing of the SPG3A, SPG4, CYP7B1 (SPG5A), NIPA1 (SPG6), SPG7, KIAA0196 (SPG8), KIF5A (SPG10), SPG11, SPG15, BSCL2 (SPG17), and SPG31 genes and analysis for deletions in the SPG4 and REEP1 (SPG31) genes.

215

Complete SMA Evaluation (Reflexive) Includes deletion analysis of the SMN1 and SMN2 genes. If the results are not diagnostic of SMA, sequencing of the SMN1 and SMN2 genes will be done at an additional charge. If still not diagnostic, IGHMB2 and UBE1 sequencing will be done at an additional charge.

612

CYP7B1 (SPG5A) DNA Sequencing

620

Familial Amyotrophic Lateral Sclerosis (SOD1) DNA

619

FUS DNA Sequencing

117

Kennedy's Disease (SBMA) DNA

NEUROLOGY—MOVEMENT DISORDERS 557

Alpha Synuclein (SNCA) DNA Sequencing

059

Alpha Synuclein (SNCA) Duplication/Deletion

493

Aprataxin DNA Sequencing

352

Ataxia-Telangiectasia (ATM) DNA Deletion Analysis

351

Ataxia-Telangiectasia (ATM) DNA Sequencing Analysis

697

Autosomal Dominant Ataxia Evaluation Includes detection of triplet or other repeats in the DRPLA, SCA1, SCA2, SCA3, SCA6, SCA7, SCA8, SCA10, SCA12, and SCA17 genes. Also includes sequencing of the SCA5, SCA14, and SCA28 genes and sequencing of exon 2 and a 20 bp intron in the SCA13 gene.

Includes detection of CAG triplet repeats in the AR gene.

15

Part 2. Tests Offered by Athena Diagnostics

Test Code

Test Name

Test Code

Test Name

693

Autosomal Recessive Ataxia Evaluation

554

PARK7 (DJ1) DNA Sequencing

Includes sequencing in the APTX, FXN, SETX, SIL1, and TTPA genes. Also includes sequencing of the 3 PLOG1 gene exons that are associated with mitochondrial recessive ataxia syndrome.

058

PINK1 Deletion

542

PINK1 DNA Sequencing

639

Primary Dystonia Evaluation

402

Chorea Differential Evaluation Includes detection of CAG triplet repeats in the HTT (IT15) and DRPLA genes.

696

Complete Ataxia Evaluation Includes detection of triplet or other repeats in the DRPLA, FXN, SCA1, SCA2, SCA3, SCA6, SCA7, SCA8, SCA10, SCA12, and SCA17 genes. Also includes sequencing of the APTX, FXN, SCA5, SCA14, SCA28, SETX, SIL1, and TTPA genes; sequencing of exon 2 and a 20 bp intron in the SCA13 gene; and sequencing of the 3 PLOG1 gene exons that are associated with mitochondrial recessive ataxia syndrome.

353

Complete Dopa-Responsive Dystonia (DYT5) Evaluation Includes sequencing of the GCH1 and TH genes and deletion analysis of the GCH1 gene.

588

Complete Parkinsonism Evaluation Includes sequencing and duplication/deletion analysis of the PARK2, PARK7 (DJ1), PINK1, and SNCA genes and sequencing of the LRRK2 gene.

401

666

PRRT2 (Dyskinesia/IC) DNA Sequencing

371

SCA1 DNA Includes detection of CAG triplet repeats in the SCA1 gene.

387

DRPLA DNA Test

285

Dystonia (DYT1) DNA Includes deletion analysis of the TOR1A (DYT1) gene.

119 348

Friedreich Ataxia DNA

284

593

SCA14 DNA Includes sequencing of the PRKCG (SCA14) gene.

388

SCA17 DNA Includes detection of CAG/CAA triplet repeats in the TBP (SCA17) gene.

672

SCA2 Expansion Analysis Includes detection of CAG triple repeats in the ATXN2 (SCA2) gene.

Includes detection of GAA triplet repeats in the FXN gene.

673

SCA28 (AFG3L2) DNA Sequencing

Friedreich's Ataxia DNA Sequencing

105

SCA3 (Machado-Joseph Disease) DNA

Friedreich's Ataxia Profile Includes detection of GAA triplet repeats and sequencing of the FXN gene.

638

GCH1 Deletion Analysis (DYT5)

637

GCH1 DNA Sequencing

116

Huntington's Disease DNA

Includes detection of CAG triplet repeats in the ATXN3 (SCA3) gene.

675

558

LRRK2 DNA Sequencing

543

LRRK2 DNA Includes sequencing of 3 codons in the LRRK2 gene: 1441 on exon 31 and 2019 and 2020 on exon 41.

MIRAS-Specific POLG1 DNA Includes sequencing of the 3 PLOG1 gene exons that are associated with mitochondrial recessive ataxia syndrome.

SCA5 DNA Sequencing Includes sequencing of the SPTBN2 (SCA5) gene.

373

SCA6 DNA Includes detection of CAG triplet repeats in the CACNA1A (SCA6) gene.

677

Includes detection of CAG triplet repeats in the HTT (IT15) gene.

383

SCA13 Select Exon DNA Includes sequencing of exon 2 and a 20 bp intron in the KCNC3 (SCA13) gene.

Includes sequencing of the FXN gene.

349

SCA12 (PPP2R2B) DNA Includes detection of CAG triplet repeats in the SCA12 (PPP2R2B) gene.

Includes detection of CAG triplet repeats in the DRPLA gene.

626

SCA10 DNA Includes detection of ATTCT pentanucleotide repeats in the SCA10 gene.

Complete Ataxia-Telangiectasia (ATM) Evaluation Includes sequencing and deletion analysis of the ATM gene.

629

Includes deletion analysis of the TOR1A (DYT1) gene and sequencing of the THAP1 gene.

SCA7 Expansion Analysis Includes detection of CAG triplet repeats in the ATXN7 (SCA7) gene.

384

SCA8 DNA Includes detection of CTA/CTG triplet repeats in the ATXN8OS (SCA8) gene.

594

SETX DNA Sequencing

627

SGCE Deletion Analysis (DYT11)

624

SGCE Sequencing (DYT11)

282

SIL1 (Marinesco-Sjogren Syndrome) DNA Sequencing

617

MR-1 (PNKD) DNA Sequencing

559

PARK2 (Parkin) DNA Sequencing

040

PARK2 (Parkin) Duplication/Deletion

634

TH DNA Sequencing (DYT5)

047

PARK7 (DJ1) Deletion

618

THAP1 (DYT6) DNA Sequencing

16

Test Code

Test Name

Test Code

Test Name

283

TTPA (Ataxia with Vitamin E Deficiency) DNA Sequencing

571

Dysferlin DNA Sequencing Includes sequencing of the DYSF gene.

100 589

ANO5 DNA Sequencing

623

BAG3 DNA Sequencing

641

CACNA1S DNA Sequencing

563

Calpain 3 DNA Sequencing Includes sequencing of the CAPN3 gene.

584

CAPN3 Deletion Analysis

585

CAPN3 Evaluation

Dystrophin Includes Western blot analysis to determine quality and quantity of dystrophin protein in muscle tissue.

NEUROLOGY—NEUROMUSCULAR DISORDERS 207

Early Onset Myotonia Evaluation Includes sequencing of the CLCN1 and SCN4A genes and detection of CTG triplet repeats in the DMPK gene.

567

EMD Sequencing

669

Emery-Dreifuss Muscular Dystrophy Evaluation Includes sequencing of the EMD, FHL1, and LMNA genes.

232

FCMD/FKTN DNA Sequencing

574

FHL1 DNA Sequencing

216

FKRP (CMD) DNA Sequencing

Includes sequencing of the CAV3 gene.

562

FKRP DNA Sequencing

128

CLCN1 DNA Sequencing

606

FLNC DNA Sequencing

201

COL6A1 DNA Sequencing

5905

FSHD Molecular Combing

202

COL6A2 DNA Sequencing

203

COL6A3 DNA Sequencing Test

293

Collagen VI-Related CMD Evaluation

Includes sequencing and deletion analysis of the CAPN3 gene.

566

Caveolin 3 DNA Sequencing

Includes detection of 4q35 deletions and haplotype associated with facioscalpulohumeral muscular dystrophy.

405

Includes 4q35 deletions associated with facioscalpulohumeral muscular dystrophy.

Includes sequencing of the COL6A1, COL6A2, and COL6A3 genes.

295

Complete Congenital Muscular Dystrophy (CMD) Evaluation Includes sequencing of the COL6A3, FKTN (FCMD), FKRP, LAMA2, POMGNT1, POMT1, and POMT2 genes.

182

181

Complete DMD Evaluation—Females

Includes sequencing of the CACNA1S and SCN4A genes.

217

LAMA2 (CMD) DNA Sequencing

565

Lamin A/C DNA Sequencing Includes sequencing of the LMNA gene.

LDB3 (ZASP) DNA Sequencing

Complete DMD Evaluation—Males

515

LHON mtDNA Evaluation

Complete Myotonia Evaluation

Complete Myotonic Dystrophy Evaluation Includes detection of CTG triplet repeats in the DMPK (DM1) and CCTG repeats in the CNBP (DM2, ZNF9) genes.

587

Includes detection of point mutations in the ND1 (3460G>A), ND4 (11778G>A), and ND6 (14484T>C) genes.

603

602

CRYAB DNA Sequencing

604

DES DNA Sequencing

108

DM1 DNA

506

Includes detection of CCTG repeats in the CNBP (DM2, ZNF9) genes.

Male Muscular Dystrophy Reflexive Profile Includes duplication/deletion analysis of the DMD gene. If negative, sequencing of the DMD gene is done at an additional charge. If still negative, sequencing of CAPN3, CAV3, DYSF, FKRP, LMNA, MYOT, SGCA, SGCB, SGCD, and SGCG genes is performed at an additional charge.

517

MELAS mtDNA Evaluation Includes restriction fragment polymorphism analysis of the MTND1, MT-ND5, MT-TH, MT-TL1, and MT-TV genes.

518

MERRF mtDNA Evaluation Includes detection of a point mutation in each of the MT-TH, MTTK, MT-TL1, MT-TS1 genes in mitochondrial DNA.

Includes detection of CTG triplet repeats in the DMPK (DM1) gene.

DM2 DNA

Limb Girdle Muscular Dystrophy Evaluation Includes sequencing of the CAPN3, CAV3, DYSF, FKRP, LMNA, MYOT, SGCA, SGCB, SGCD and SGCG genes. Also includes deletion analysis in the CAPN3, SGCA, and SGCG genes.

Complete Sarcoglycans Evaluation Includes sequencing of the SGCA, SGCB, SGCD, and SGCG genes and deletion analysis of the SGCA and SGCG genes.

110

Hypokalemic Periodic Paralysis (HOKPP) Evaluation

607

Includes sequencing of the CLCN1 and SCN4A genes and detection of CTG triplet repeats in the DMPK gene and CCTG repeats in the CNBP gene.

126

649

Includes sequencing and duplication/deletion analysis of the DMD gene. Report provided is specific for females.

Includes sequencing and duplication/deletion analysis of the DMD gene. Report provided is specific for males.

147

FSHD Southern Blot

636

Myofibrillar Myopathy (MFM) Evaluation Includes sequencing of the BAG3, CRYAB, DES, FLNC, LDB3 (ZASP), and MYOT genes.

17

Part 2. Tests Offered by Athena Diagnostics

Test Code

Test Name

Test Code

Test Name

616

MYOT (MFM) DNA Sequencing

4008

CMT Advanced Evaluation—Axonal

581

MYOT DNA Sequencing

516

NARP mtDNA Evaluation Includes detection of point mutations in the MT-ATP6 gene in mitochondrial DNA.

269

4001

4007

Optic Atrophy Evaluation (OPA1) Includes sequencing of the OPA1 gene.

103

101

Partial DMD—Del/Dup Only—Males Includes duplication/deletion analysis of the DMD gene. Report provided is specific for males.

183

4005

Partial DMD—Sequencing Only

CMT Advanced Evaluation—Dominant Includes sequencing of the DNM2, EGR2, GARS, HSPB1, HSPB8, LITAF, MFN2, MPZ, NFL, PMP22, RAB7, TRPV4, and YARS genes, and duplicaton/deletion analysis of the PMP22 gene.

Partial DMD—Del/Dup Only—Females Includes duplication/deletion analysis of the DMD gene. Report provided is specific for females.

CMT Advanced Evaluation—Demyelinating Includes sequencing of the DNM2, EGR2, FGD4, FIG4, GDAP1, GJB1 (CX32), LITAF, MTMR2, MPZ, NDRG1, PMP22, PRX, SBF2, SH3TC2, and YARS genes; deletion analysis of the GJB1 (CX32); and duplicaton/deletion analysis of the PMP22 gene.

OPMD DNA Includes detection of GCG triplet repeats in the PABP2 gene.

490

CMT Advanced Evaluation—Comprehensive Includes sequencing of the DNM2, EGR2, FGD4, FIG4, GARS, GDAP1, GJB1 (CX32), HSPB1, HSPB8, LITAF, LMNA, MFN2, MTMR2, MPZ, NDRG1, NFL, PMP22, PRX, RAB7, SBF2, SH3TC2, TRPV4, and YARS genes; deletion analysis of the GJB1 (CX32); and duplicaton/ deletion analysis of the PMP22 gene.

Non-Syndromic Congenital Muscular Dystrophy (CMD) Evaluation Includes sequencing of COL6A1, COL6A2, COL6A3, FKRP, and LAMA2 genes.

300

Includes sequencing of the DNM2, GARS, GDAP1, GJB1 (CX32), HSPB1, HSPB8, LMNA, MFN2, MPZ, NFL, RAB7, TRPV4, and YARS genes and deletion analysis of the GJB1 (CX32) and GJB1 gene.

4003

CMT Advanced Evaluation—Dominant, Axonal Includes sequencing of the DNM2, GARS, HSPB1, HSPB8, LMNA, MFN2, MPZ, NFL, RAB7, TRPV4, and YARS genes.

4002

Includes sequencing of the DMD gene.

CMT Advanced Evaluation—Dominant, Demyelinating Includes sequencing of the DNM2, EGR2, LITAF, MPZ, PMP22, and YARS genes and duplicaton/deletion analysis of the PMP22 gene.

220

POMGNT1 (CMD) DNA Sequencing

218

POMT1 (CMD) DNA Sequencing

219

POMT2 (CMD) DNA Sequencing

642

SCN4A (HOKPP) DNA Sequencing

146

SCN4A DNA Sequencing

582

SGCA Deletion

564

SGCA DNA Sequencing

568

SGCA, B, D, G DNA Sequencing

051

SGCB DNA Sequencing

052

SGCD DNA Sequencing

583

SGCG Deletion

053

SGCG DNA Sequencing

237

Syndromic Congenital Muscular Dystrophy (CMD) Evaluation

253

DNM2 DNA Sequencing

Includes sequencing of the FKTN (FCMD), POMGNT1, POMT1, POMT2 genes.

691

Early Onset Hereditary Sensory and Autonomic Neuropathy (HSAN) Evaluation

NEUROLOGY—PERIPHERAL NEUROPATHY 235

Amyloidosis Evaluation (TTR) Includes sequencing of the TTR gene.

660

CMT Advanced Evaluation—Recessive Includes sequencing of the FGD4, FIG4, GDAP1, LMNA, MTMR2, NDRG1, PRX, SBF2, and SH3TC2 genes.

4004

CMT Advanced Evaluation—Recessive, Demyelinating Includes sequencing of the FGD4, FIG4, GDAP1, MTMR2, NDRG1, PRX, SBF2, and SH3TC2 genes.

286

Complete Dejerine-Sottas Neuropathy Evaluation Includes EGR2, MPZ, PMP22, and PRX gene sequencing.

243

Complete HNPP Evaluation Includes sequencing and duplication/deletion analysis of the PMP22 gene.

245

Congenital Hypomyelination Evaluation Includes sequencing of the EGR2 and MPZ genes.

143

Connexin32 Evaluation Includes sequencing and duplication/deletion analysis of the GJB1 gene.

Includes sequencing of the NTRK1 and WNK1 genes.

248

EGR2 DNA Sequencing

296

Entrapment Neuropathy Evaluation Includes sequencing of the PMP22 and TTR genes and duplication/ deletion analysis of the PMP22 gene.

ATL1 (HSAN) DNA Sequencing Test Includes sequencing of the ALT1 gene, targeting mutations associated with hereditary sensory and autonomic neuropathy type 1D.

18

4006

208

FGD4 DNA Sequencing

225

FIG4 DNA Sequencing

Test Code

Test Name

228

GARS (CMT2D) DNA Sequencing

221

GDAP1 DNA Sequencing

NEUROLOGY—OTHER

229

HSPB1 (CMT2F) DNA Sequencing

319

463

HSPB8 DNA Sequencing

698

Late Onset Hereditary Sensory and Autonomic Neuropathy (HSAN) Evaluation Includes sequencing of the SPTLC1 and SPTLC2 genes.

222

LITAF/SIMPLE DNA Sequencing

226

LMNA (CMT2B1) DNA Sequencing

518

MERRF mtDNA Evaluation Includes detection of a point mutation in each of the MT-TH, MT-TK, MT-TL1, MT-TS1 genes in mitochondrial DNA.

223

MFN2 DNA Sequencing

354

MTMR2 DNA Sequencing

134

Myelin Protein Zero (MPZ) DNA Sequencing

394

NDRG1 DNA Sequencing

249

Neurofilament Light (NFL) DNA Sequencing

659

NTRK1 DNA Sequencing

239

Periaxin DNA Sequencing Test

Test Code

PMP22 DNA Sequencing

131

PMP22 Duplication/Deletion DNA

227

RAB7 (CMT2B) DNA Sequencing

164

SBF2 DNA Sequencing

719

SEPT9 DNA Sequencing

224

SH3TC2 DNA Sequencing

551

SPTLC1 DNA Sequencing

552

SPTLC2 DNA Sequencing

144

TRPV4 DNA Sequencing

553

WNK1 DNA Sequencing

468

YARS DNA Sequencing

Connexin 30 DNA Includes deletion analysis of the GJB6 gene.

329

Connexin Related Deafness Evaluation Includes sequencing of the GJB2 gene and deletion analysis of the GJB6 gene.

321

Cx26 DNA Sequencing Includes sequencing of the GJB2 gene.

185

Familial DNA Sequence Evaluation Includes analysis for a familial mutation only.

187

Familial Hemiplegic Migraine Type I (CACNA1A) DNA Includes sequencing of the CACNA1A gene.

188

Familial Hemiplegic Migraine Type II (ATP1A2) DNA Includes sequencing of the ATP1A2 gene.

189

Familial Hemiplegic Migraine Type III (SCN1A) DNA (Target Exon Analysis) Includes sequencing of the SCN1A gene.

190

Hemiplegic Migraine Evaluation Includes sequencing of the ATP1A2, CACNA1A, and SCN1A genes.

518

MERRF mtDNA Evaluation Includes detection of a point mutation in each of the MT-TH, MTTK, MT-TL1, MT-TS1 genes in mitochondrial DNA.

Includes sequencing of the PRX gene.

247

Test Name

648

Neurofibromatosis Type 1 (NF1) Evaluation Includes sequencing and deletion analysis of the NF1 gene.

647

Neurofibromatosis Type 1 Deletion Includes deletion analysis of the NF1 gene.

646

Neurofibromatosis Type 1 DNA Sequencing Includes sequencing of the NF1 gene.

644

Neurofibromatosis Type 2 (NF2) Duplication/ Deletion

645

Neurofibromatosis Type 2 (NF2) Evaluation Includes sequencing and duplication/deletion analysis of the NF2 gene.

635

Neurofibromatosis Type 2 DNA Sequencing Includes sequencing of the NF2 gene.

OTHER GENETIC TESTS 166

APOE Genotype Analysis Includes analysis of the APOE genotype (e2, e3, and e4 alleles) for non-Alzheimer disease indications.

All tests were developed and their performance characteristics have been determined by Athena Diagnostics. Performance characteristics refer to the analytical performance of the test.

19

NOTES:

20

21

Diagnostic Services Genetics

QuestDiagnostics.com

Quest, Quest Diagnostics, ClariSure, XSense, AccuType, CFvantage, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. Athena, PKDx, ADmark, any associated logos, and all associated Athena Diagnostics registered or unregistered trademarks are the property of Athena Diagnostics. All third party marks - ® and ™ - are the property of their respective owners. © 2015 Quest Diagnostics Incorporated. All rights reserved. TL4162 12/2014

Suggest Documents