Test ID: BWS
Beckwith-Wiedemann Syndrome (BWS) Methylation Analysis, Blood
List Fee
Provides the Mayo Medical Laboratories list fee for performing the test
$602.50
For amniotic fluid specimens, the following test may be added at an additional charge:
$587.80 for #80334 Amniotic Fluid Culture for Genetic Testing
$1,190.30 =Total List Fee
Test Classification
Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.
This test uses a reagent or kit labeled by the manufacturer as Research Use Only. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.
CPT Code Information
Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.
Beckwith-Wiedemann Syndrome (BWS) Methylation Analysis, Blood
83891-Isolation or extraction of highly purified nucleic acid
83892-Enzymatic digestion
83900-Amplification, target, multiplex, first 2 nucleic acid sequences
83909 x 2-Separation and identification by high-resolution technique
83914 x 26-Mutation identification by enzymatic ligation or primer extension, single segment, each segment
83912-Interpretation and report
Amniotic Fluid Culture for Genetic Testing
88235-Tissue culture for amniotic fluid (if appropriate)
88240-Cryopreservation (if appropriate)


