DMD Gene Analysis Known Familial Variants
| Label Mnemonic: | DBMDKNM |
| Epic code: | LAB5767 |
| Downtime form: | A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery |
Commercial Mailout Laboratory
6240-8 RCP
356-8593
6240-8 RCP
356-8593
Specimen(s):
Whole Blood
Specimen
Instructions:
Requisition form must accompany specimen. Please have patient, or
their legal guardian, sign consent form and submit it with the
sample.
Label each tube with the individual's name, date of birth, sex and the date collected.
Label each tube with the individual's name, date of birth, sex and the date collected.
Collection Medium:
 | and | | and | |
| Yellow top tube 8.5 mL (ACD solution A) | Yellow top tube 8.5 mL (ACD solution A) | Yellow top tube 8.5 mL (ACD solution A) |
Minimum:
THREE 8.5 mL (Yellow top ACD tubes) for each participant
Delivery Instructions:
Submit specimen to laboratory as soon as possible after collection.Turn Around
Time:
6 weeks
Reference Range:
Not detected
Comments:
Please print, complete, and submit the Information/Billing and DNA Testing Consent Form for (DBMD from University of Utah Genome Center with the appropriate
signatures, the correct sample type and the A-1a Miscellaneous Request.
This mailout test requires pathologist approval for orders during inpatient encounters. Mailouts staff will not process order without approval. The pathologist covering mailouts approval can be reached at pager #3724. If approval is given, the name of the pathologist can be selected in the drop-down menu to the right of the approval warning in Epic when ordering the test.
This mailout test requires pathologist approval for orders during inpatient encounters. Mailouts staff will not process order without approval. The pathologist covering mailouts approval can be reached at pager #3724. If approval is given, the name of the pathologist can be selected in the drop-down menu to the right of the approval warning in Epic when ordering the test.
Methodology:
Sequencing of single exon
CPT Code:
81403