Stanford Hospital & Clinics and Lucile Packard Children’s Hospital
Test Name : MCAD Deficiency Sequencing Order Code : 11539R
Note: This is a Sendout/Referred Test and is only offered to registered patients of SHC or LPCH.
Specimen Type: Whole Blood
Container Type: Lavender-top tube (EDTA)
Required Volume: 14 mL
Minimum Volume (Pediatric): 6 mL
Methodology: DNA Sequencing, Polymerase Chain Reaction (PCR)
Standard Run Times: Daily
Turnaround Time: 30 days
Special Handling: Ship at room temperature. Label all specimens with the patient’s full name and date of birth. Enclose a completed mitochondrial requisition form, clinical summary or clinical check list, and signed consent form.
CPT Codes: Full Sequencing: 83904 x 24, 83898 x 12, 83912, 83891; One Mutation Analysis: 83904 x 4, 83898 x 2, 83912, 83891, 83894 x 2; Known familial mutation: 83904 x 4, 83898 x 2, 83912, 83891, 83894 x 2
SHC EPIC Code: LAB11539R
Department: Sendouts
Clinical Specialties: Genetics
Sendout Lab: Baylor Medical Genetics Laboratories