Gaucher Disease, DNA-13558

3/20/2023: This test order is currently unavailable. To order a referred alternate, place a MSO order for LabCorp (482370) GeneSeq PLUS

Test info

  
Gaucher Disease, DNA
  
13558
  
LAB13558
  
GAUCHER
  

The mutations tested include: N370S (A1226G), L444P (C1448T), D409H (G5957C), V395L (5912T), 84GG (G-GG), IVS2+1 (insA), R496H (G1604A) and 55 bp deletion (C1263del).

  

This assay will detect carriers of Gaucher disease in the Ashkenazi Jewish population

Specimen

  
EDTA whole blood
  
  
7 mL
  
3.0 mL
  

Immediately following collection, mix sample thoroughly by gentle inverting 8 - 10 times, to prevent clotting

  

Lavender (EDTA), 10mL

  
ACD whole blood
Amniotic fluid
Chorionic villus sample (CVS) (submission of maternal blood is required for fetal testing)
  

ACD whole blood

Yellow ACD (A or B)

 

Amniotic fluid or Chorionic villus sample (CVS) 

Sterile vial/container

  
Amniotic fluid - 10mL (minimum 5mL)
Chorionic villus sample (CVS) - 20 mg (minimum 10 mg)
  

ACD whole blood

Yellow ACD (A or B)

Amniotic fluid or Chorionic villus sample (CVS)

Sterile vial/container

  

Molecular Medicare billing request

Hospital clients submitting a reqeust for this assay on an outpatient with Medicare should complete and submit a Molecular Medical billing request along with the sample

  • Complete and submit the form to notify us of the need for Allina Health Laboratory to bill insurance for Molecular testing performed
  • All information requested is required in order for your request to be completed
  

Ambient

  
  • Frozen specimen
  • Hemolysis
  • Quantity not sufficient for analysis (QNS)
  • Improper container

Performance

  
LabCorp RTP (511048): R-LC
  
2X per wk, or as needed
  
9 - 15 days
If cultured cells are needed, an additional 7-12 days may be required. Additional culture fee may be included.
  

Polymerase chain reaction (PCR); primer extension; flow-sorted bead array analysis for eight mutations in the glucocerebrosidase gene.

Clinical and Interpretive info

  

An interpretive report will be provided

  

Enzyme testing is the preferred test to detect affected individuals. DNA testing may be used to confirm affected status. Gaucher disease (OMIM 230800) is an autosomal recessive disorder caused by a decrease in the levels of the enzyme glucocerebrosidase. Decreased levels of glucocerebrosidase can result in visceral changes, such as organomegaly and thrombocytopenia, and skeletal changes, such as bone lesions.

There are three subtypes of Gaucher disease. Type 1 is the most common subtype. Individuals affected with type 1 may have onset of symptoms in adolescence, though some remain asymptomatic well into adulthood. Type 1 is effectively treated through enzyme replacement therapy.

Billing

  
This test may require preauthorization from the insurance provider. Check the payer guidelines and, if needed, obtain the pre-authorization prior to sample collection.
  
81251
  
Yes
  
Result 41104-1
  

Medical necessity

Hospital clients submitting a request for this assay on an outpatient with Medicare should complete and submit a Molecular Medical billing request form along with the sample.

  • Complete and submit the form to notify us of the need for Allina Health Laboratory to bill insurance for Molecular testing performed
  • All information requested is required in order for your request to be completed

Molecular Medicare billing request

Tracking

  
04/05/2019
  
01/02/2024
  
01/02/2024