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Unit Code 84367:
Galactosemia Gene Analysis, Known Mutation

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List Fee

$274.10

 

For amniotic fluid specimens, the following test will be added at

an additional charge:

$507.40 for #80334 "Amniotic Fluid Culture for Genetic Testing"

 

$ 781.50 = Total List Fee

 

For chorionic villus specimens, the following test will be added at

an additional charge:

$225.30 for #80333 "Fibroblast Culture for Genetic Testing"

 

$ 499.40 = Total List Fee

Test Classification

This test was developed and its performance characteristics

determined by Laboratory Medicine and Pathology, Mayo Clinic.

This test has not been cleared or approved by the U.S. Food

and Drug Administration.

CPT Code Information

"Galactosemia Gene Analysis, Known Mutation"

83890/Molecular isolation or extraction

83894/x2 Separation by gel electrophoresis

83898/x2 Amplification, target, each nucleic acid sequence

83909/x4 Separation and identification by high-resolution technique

83912/Interpretation and report

 

"Amniotic Fluid Culture for Genetic Testing"

88235/Tissue culture for amniotic fluid (if appropriate)

88240/Cryopreservation (if appropriate)

 

"Fibroblast Culture for Genetic Testing"

88233/Tissue culture, skin or solid tissue biopsy (if appropriate)

88240/Cryopreservation (if appropriate)

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