GeneDx

Short QT syndrome (SQTS) is a heart disorder that affects the cardiac rhythm due to abnormal functioning of ion channel proteins. It is characterized by shortening of the QT interval on ECG and paroxysmal atrial and ventricular tachyarrhythmias (episodes of rapid heartbeats originating from the heart chambers). SQTS is associated with an increased risk of atrial fibrillation and sudden cardiac death, resulting from an accelerated cardiac atrial and ventricular repolarization. Fewer than 30 cases of short QT syndrome have been published since the condition was first described in 2000. The diagnosis of SQTS is based on clinical history, ECG findings and family history. The disorder may manifest in any stage of life, sometimes as early as infancy. Patients may have a history of atrial fibrillation, or less likely, syncope. SQTS may be present even in the absence of any clinical symptoms, and in some patients sudden cardiac death occurs without any preceding symptoms and without an identifiable cause at autopsy. Autosomal dominant SQTS may also underlie some cases of sudden infant death syndrome (SIDS).

Tests Available

Forms and Documents

Specimen Requirements Test Info Sheet Test Requisition

Test Details

Genes:

Expand Genes

ABCC9, AKAP9, ANK2, CACNA1C, CACNA2D1, CACNB2, CALM1, CALM2, CALM3, CASQ2, CAV3, CTNNA3, DES, DSC2, DSG2, DSP, FLNC, GATA4, GATA5, GATA6, GJA5, GNB5, GPD1L, HCN4, JUP, KCNA5 , KCND3, KCNE1, KCNE2, KCNE3, KCNE5, KCNH2, KCNJ2, KCNJ5, KCNJ8, KCNQ1, LDB3, LMNA, MYL4, NKX2-5, PKP2, PLN, PPA2, RANGRF, RYR2, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SCN5A, SNTA1, TECRL, TGFB3, TMEM43, TRDN, TRPM4, TTN

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic individuals
Risk assessment of asymptomatic family members of a proband with arrhythmia
Differentiation of hereditary arrhythmia from acquired (non-genetic) arrhythmia
Recurrence risk calculation

Ordering

Test Code:

695

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81413x1, 81414x1

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Specimen Requirements Test Info Sheet Test Requisition

Test Details

Genes:

Expand Genes

ABCC9, ACTC1, ACTN2, AKAP9, ALMS1, ALPK3, ANK2, ANKRD1, BAG3, BRAF, CACNA1C, CACNA2D1, CACNB2, CALM1, CALM2, CALM3, CASQ2, CAV3, CAVIN4, CHRM2, CRYAB, CSRP3, CTNNA3, DES, DMD, DOLK, DSC2, DSG2, DSP, DTNA, EMD, EYA4, FHL1, FKRP, FKTN, FLNC, GAA, GATA4, GATA5, GATA6, GATAD1, GJA5, GLA, GNB5, GPD1L, HCN4, HFE, HRAS, ILK, JPH2, JUP, KCNA5 , KCND3, KCNE1, KCNE2, KCNE3, KCNE5, KCNH2, KCNJ2, KCNJ5, KCNJ8, KCNQ1, KRAS, LAMA4, LAMP2, LDB3, LMNA, LRRC10, MAP2K1, MAP2K2, MIB1, MTND1, MTND5, MTND6, MTTD, MTTG, MTTH, MTTI, MTTK, MTTL1, MTTL2, MTTM, MTTQ, MTTS1, MTTS2, MYBPC3, MYH6, MYH7, MYL2, MYL3, MYL4, MYLK2, MYOZ2, MYPN, NEBL, NEXN, NKX2-5, NRAS, PDLIM3, PKP2, PLN, PPA2, PRDM16, PRKAG2, PTPN11, RAF1, RANGRF, RBM20, RIT1, RYR2, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SCN5A, SGCD, SHOC2, SNTA1, SOS1, TAZ, TBX20, TCAP, TECRL, TGFB3, TMEM43, TMPO, TNNC1, TNNI3, TNNT2, TOR1AIP1, TPM1, TRDN, TRPM4, TTN, TTR, TXNRD2, VCL

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic patients
Risk assessment of asymptomatic family members of a proband with cardiomyopathy and/or arrhythmia
Differentiation of hereditary cardiomyopathy and/or arrhythmia from acquired (non-genetic) cardiomyopathy and/or arrhythmia
Recurrence risk calculation

Ordering

Test Code:

935

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81413x1, 81414x1

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Post-Mortem Sample Collection Test Info Sheet Test Requisition

Test Details

Genes:

Expand Genes

ANK2, CALM1, CALM2, CALM3, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, PPA2, RYR2, SCN5A

Disorders:

Clinical Utility:

Genetic diagnosis in sudden unexplained death
Recurrence risk information for family members

Ordering

Test Code:

J552

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81413x1, 81414x1

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Info Sheet Specimen Requirements Medical Necessity Template Test Requisition

Test Details

Genes:

Expand Genes

CACNA1C, CACNB2, KCNH2, KCNJ2, KCNQ1

Disorders:

Short QT Syndrome (SQTS)

Clinical Utility:

Confirmation of a clinical diagnosis in symptomatic patients
Risk assessment for asymptomatic family members of a proband with SQTS
Recurrence risk calculation
Prenatal diagnosis in families with a known mutation

Ordering

Test Code:

J551

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81403x1, 81406x2

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition Specimen Requirements Test Info Sheet

CREATE A CUSTOM PANEL

Test Details

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic patients
Risk assessment of asymptomatic family members of a proband with cardiomyopathy and/or arrhythmia
Differentiation of hereditary cardiomyopathy and/or arrhythmia from acquired (non-genetic) cardiomyopathy and/or arrhythmia
Recurrence risk calculation

Notes:

Customizable Cardiology Panel

Ordering

Test Code:

935C

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81413x1, 81414x1

New York Approved

No

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition Test Info Sheet

CREATE A CUSTOM PANEL

Test Details

Disorders:

Clinical Utility:

Confirmation of clinical diagnosis in symptomatic patients
Genetic counseling and risk assessment of asymptomatic family members of a proband with a hereditary cardiovascular condition

Notes:

Customizable Cardiology Panel

Ordering

Test Code:

J779

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

Varies by gene

New York Approved

No

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition Test Info Sheet Specimen Requirements

CREATE A CUSTOM PANEL

Test Details

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic individuals
Risk assessment of asymptomatic family members of a proband with arrhythmia
Differentiation of hereditary arrhythmia from acquired (non-genetic) arrhythmia
Recurrence risk calculation

Notes:

Customizable Cardiology Panel

Ordering

Test Code:

695C

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81413x1, 81414x1

New York Approved

No

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Info Sheet Test Requisition Specimen Requirements Medical Necessity Template

CREATE A CUSTOM PANEL

Test Details

Disorders:

Short QT Syndrome (SQTS)

Clinical Utility:

Confirmation of a clinical diagnosis in symptomatic patients
Risk assessment for asymptomatic family members of a proband with SQTS
Recurrence risk calculation
Prenatal diagnosis in families with a known mutation

Ordering

Test Code:

J551C

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81403x1, 81406x2

New York Approved

No

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition Post-Mortem Sample Collection Test Info Sheet Specimen Requirements

CREATE A CUSTOM PANEL

Test Details

Disorders:

Clinical Utility:

Genetic diagnosis in sudden unexplained death
Recurrence risk information for family members

Notes:

Customizable Cardiology Panel

Ordering

Test Code:

J552C

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81413x1, 81414x1

New York Approved

No

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition

Test Details

Genes:

Expand Genes

AKAP9, ANK2, CALM1, CALM2, CALM3, CASQ2, CAV3, CTNNA3, DES, DSC2, DSG2, DSP, FLNC, GATA4, GATA5, GATA6, GJA5, GNB5, JUP, KCNA5 , KCNE1, KCNE1L(KCNE5), KCNE2, KCNJ2, KCNJ5, KCNQ1, LDB3, LMNA, MYL4, NKX2-5, PLN, PPA2, RANGRF, RYR2, SCN4B, SNTA1, TECRL, TGFB3, TMEM43, TRDN, TTN

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic individuals
Risk assessment of asymptomatic family members of a proband with arrhythmia
Differentiation of hereditary arrhythmia from acquired (non-genetic) arrhythmia
Recurrence risk calculation

Ordering

Test Code:

481RE

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81406x2; 81408x1

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition

Test Details

Genes:

Expand Genes

ABCC9, AKAP9, CACNA1C, CACNA2D1, CACNB2, CAV3, CTNNA3, DES, DSC2, DSG2, DSP, FLNC, GATA4, GATA5, GATA6, GJA5, GNB5, GPD1L, HCN4, JUP, KCNA5 , KCND3, KCNE1, KCNE1L(KCNE5), KCNE2, KCNE3, KCNJ5, KCNJ8, KCNQ1, LDB3, LMNA, MYL4, NKX2-5, PKP2, PLN, PPA2, RANGRF, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SCN5A, SNTA1, TGFB3, TMEM43, TRPM4, TTN

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic individuals
Risk assessment of asymptomatic family members of a proband with arrhythmia
Differentiation of hereditary arrhythmia from acquired (non-genetic) arrhythmia
Recurrence risk calculation

Ordering

Test Code:

482RE

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81404x1; 81406x2; 81407x1

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition

Test Details

Genes:

Expand Genes

ABCC9, CACNA2D1, CACNB2, CASQ2, CTNNA3, DES, DSC2, DSG2, DSP, FLNC, GATA4, GATA5, GATA6, GJA5, GNB5, GPD1L, HCN4, JUP, KCNA5 , KCND3, KCNE1L(KCNE5), KCNE3, KCNJ8, LDB3, LMNA, MYL4, NKX2-5, PKP2, PLN, PPA2, RANGRF, RYR2, SCN10A, SCN1B, SCN2B, SCN3B, TECRL, TGFB3, TMEM43, TRPM4, TTN

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic individuals
Risk assessment of asymptomatic family members of a proband with arrhythmia
Differentiation of hereditary arrhythmia from acquired (non-genetic) arrhythmia
Recurrence risk calculation

Ordering

Test Code:

727RE

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81404s1; 81406x2; 81408x1

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition

Test Details

Genes:

Expand Genes

ABCC9, AKAP9, CACNA1C, CACNA2D1, CACNB2, CTNNA3, DES, DSC2, DSG2, DSP, FLNC, GATA4, GATA5, GATA6, GJA5, GNB5, GPD1L, HCN4, JUP, KCNA5 , KCND3, KCNE1L(KCNE5), KCNE3, KCNJ5, KCNJ8, LDB3, LMNA, MYL4, NKX2-5, PKP2, PLN, RANGRF, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SNTA1, TECRL, TGFB3, TMEM43, TRDN, TRPM4, TTN

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic individuals
Risk assessment of asymptomatic family members of a proband with arrhythmia
Differentiation of hereditary arrhythmia from acquired (non-genetic) arrhythmia
Recurrence risk calculation

Ordering

Test Code:

J552RE

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81403x1; 81406x2

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition

Test Details

Genes:

Expand Genes

ABCC9, ACTC1, ACTN2, AKAP9, ALMS1, ALPK3, ANK2, ANKRD1, BAG3, BRAF, CACNA1C, CACNA2D1, CACNB2, CALM1, CALM2, CALM3, CASQ2, CAV3, CAVIN4, CHRM2, CRYAB, CSRP3, DMD, DOLK, DTNA, EMD, EYA4, FHL1, FKRP, FKTN, GAA, GATA4, GATA5, GATA6, GATAD1, GJA5, GLA, GNB5, GPD1L, HCN4, HFE, HRAS, ILK, JPH2, KCNA5 , KCND3, KCNE1, KCNE1L(KCNE5), KCNE2, KCNE3, KCNJ2, KCNJ5, KCNJ8, KCNQ1, KRAS, LAMA4, LAMP2, LRRC10, MAP2K1, MAP2K2, MIB1, MTND1, MTND5, MTND6, MTTD, MTTG, MTTH, MTTI, MTTK, MTTL1, MTTL2, MTTM, MTTQ, MTTS1, MTTS2, MYBPC3, MYH6, MYH7, MYL2, MYL3, MYL4, MYLK2, MYOZ2, MYPN, NEBL, NEXN, NKX2-5, NRAS, PDLIM3, PPA2, PRDM16, PRKAG2, PTPN11, RAF1, RANGRF, RBM20, RIT1, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SGCD, SHOC2, SNTA1, SOS1, TAZ, TBX20, TCAP, TECRL, TMPO, TNNC1, TNNI3, TNNT2, TOR1AIP1, TPM1, TRDN, TRPM4, TTR, TXNRD2, VCL

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic patients
Risk assessment of asymptomatic family members of a proband with cardiomyopathy and/or arrhythmia
Differentiation of hereditary cardiomyopathy and/or arrhythmia from acquired (non-genetic) cardiomyopathy and/or arrhythmia
Recurrence risk calculation

Ordering

Test Code:

483RE

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81405x2; 81406x2; 81407x1

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition

Test Details

Genes:

Expand Genes

ANK2, CACNA1C, CACNA2D1, CACNB2, CALM1, CALM2, CALM3, CASQ2, GATA5, GATA6, GJA5, GNB5, GPD1L, KCNA5 , KCND3, KCNE1, KCNE1L(KCNE5), KCNE2, KCNE3, KCNJ2, KCNJ5, KCNJ8, KCNQ1, MYL4, PPA2, RANGRF, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SNTA1, TECRL, TRDN, TRPM4

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic patients
Risk assessment of asymptomatic family members of a proband with cardiomyopathy and/or arrhythmia
Differentiation of hereditary cardiomyopathy and/or arrhythmia from acquired (non-genetic) cardiomyopathy and/or arrhythmia
Recurrence risk calculation

Ordering

Test Code:

694RE

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81403x1; 81406x2

New York Approved

Yes

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition Test Info Sheet

Test Details

Genes:

Expand Genes

ABCC9, ACTC1, ACTN2, AKAP9, ALMS1, ALPK3, ANK2, ANKRD1, BAG3, BRAF, CACNA1C, CACNA2D1, CACNB2, CALM1, CALM2, CALM3, CASQ2, CAV3, CAVIN4, CHRM2, CRYAB, CSRP3, CTNNA3, DES, DMD, DOLK, DSC2, DSG2, DSP, DTNA, EMD, EYA4, FHL1, FKRP, FKTN, FLNC, GAA, GATA4, GATA5, GATA6, GATAD1, GJA5, GLA, GNB5, GPD1L, HCN4, HRAS, ILK, JPH2, JUP, KCNA5 , KCND3, KCNE1, KCNE2, KCNE3, KCNE5, KCNJ2, KCNJ5, KCNJ8, KCNQ1, KRAS, LAMA4, LAMP2, LDB3, LMNA, LRRC10, MAP2K1, MAP2K2, MIB1, MYBPC3, MYH6, MYH7, MYL2, MYL3, MYL4, MYLK2, MYOZ2, MYPN, NEBL, NEXN, NKX2-5, NRAS, PDLIM3, PKP2, PLN, PPA2, PRDM16, PRKAG2, PTPN11, RAF1, RANGRF, RBM20, RIT1, RYR2, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SCN5A, SGCD, SHOC2, SNTA1, SOS1, TAZ, TBX20, TCAP, TECRL, TGFB3, TMEM43, TMPO, TNNC1, TNNI3, TNNT2, TOR1AIP1, TPM1, TRDN, TRPM4, TTN, TXNRD2, VCL

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic patients
Risk assessment of asymptomatic family members of a proband with cardiomyopathy and/or arrhythmia
Differentiation of hereditary cardiomyopathy and/or arrhythmia from acquired (non-genetic) cardiomyopathy and/or arrhythmia
Recurrence risk calculation

Ordering

Test Code:

TF67

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs | Extracted DNA

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81413x1; 81414x1

New York Approved

No

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition Test Info Sheet

CREATE A CUSTOM PANEL

Test Details

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic patients
Risk assessment of asymptomatic family members of a proband with cardiomyopathy and/or arrhythmia
Differentiation of hereditary cardiomyopathy and/or arrhythmia from acquired (non-genetic) cardiomyopathy and/or arrhythmia
Recurrence risk calculation

Ordering

Test Code:

TF67C

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs | Extracted DNA

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81413x1; 81414x1

New York Approved

No

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Forms and Documents

Test Requisition

Test Details

Genes:

Expand Genes

ANK2, CACNA1C, CACNA2D1, CACNB2, CALM1, CALM2, CALM3, CASQ2, GATA5, GATA6, GJA5, GNB5, GPD1L, KCNA5 , KCND3, KCNE1, KCNE2, KCNE3, KCNE5, KCNJ2, KCNJ5, KCNJ8, KCNQ1, MYL4, PPA2, RANGRF, SCN10A, SCN1B, SCN2B, SCN3B, SCN4B, SNTA1, TECRL, TRDN, TRPM4

Disorders:

Clinical Utility:

Molecular confirmation of a clinical diagnosis in symptomatic patients
Risk assessment of asymptomatic family members of a proband with cardiomyopathy
Differentiation of hereditary cardiomyopathy from acquired (non-genetic) cardiomyopathy
Recurrence risk calculation

Ordering

Test Code:

TF66RE

Turnaround Time *:

4 weeks

Preferred Specimen:

2-5 mL Blood - Lavender Top Tube

Alternative Specimen:

Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

CPT Codes** :

81403x1; 81406x2

New York Approved

No

ABN Required

Yes

For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Short QT Syndrome (SQTS)

Tests Available

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

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CREATE A CUSTOM PANEL

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Ordering

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Forms and Documents

CREATE A CUSTOM PANEL

Test Details

Ordering

Billing

Forms and Documents

CREATE A CUSTOM PANEL

Test Details

Ordering

Billing

Forms and Documents

CREATE A CUSTOM PANEL

Test Details

Ordering

Billing

Forms and Documents

CREATE A CUSTOM PANEL

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing

Forms and Documents

CREATE A CUSTOM PANEL

Test Details

Ordering

Billing

Forms and Documents

Test Details

Ordering

Billing