Last Modified:
5/17/2019 3:43:56 PM
Medical Necessity Documentation:
Client Notes:
Contact the Laboratory at 66-1500 (Option 1) for the Payment requirements of this test.
Patient Preparation:
Specimen Requirements:
15.0 mL Whole Blood in Three Lavender Top Tubes - EDTA
Collection Instructions:
Transport & Storage: Temperature/Stability:
Refrigerate
Reference Range:
No mutation detected
Critical Ranges:
Test Comments:
Methodology:
Polymerase Chain Reaction (PCR) and Restriction Fragment Length Polymorphism (RFLP)
Clinical Significance:
Detects four mtDNA point mutations linked to MERRF syndrome
Type of Disorder: Neuromuscular Disorders
Typical Presentation: Features may include myoclonus, ataxia, weakness, seizures, hearing loss and ragged red fibers
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
15 to 22 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday
Sites Performed:
Athena Diagnostics
PHL Test Code:
MERF
EPIC Test Code:
LAB304095
Send Out Test Code:
518
Alternate Test Names:
MERRF
Included Tests:
CPT Coding:
83891, 83892 x 4, 83898 x4, 83909, 83912
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