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Unit Code 85318:
Fanconi Anemia C Mutation Analysis, IVS4( 4)A>T and 322delG

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List Fee

$219.70

 

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

an additional charge:

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

 

$727.10 = 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"

 

$445.00 = Total List Fee

Test Classification

Analyte Specific Reagent
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

"Fanconi Anemia C Mutation Analysis, IVS4( 4)A>T and 322delG"

83890/Molecular isolation or extraction

83892/Enzymatic digestion

83896/x2 Nucleic acid probe, each

83900/Amplification, target, multiplex, first 2 nucleic acid sequences

83909/Separation and identification by high-resolution technique

83912/Interpretation and report

83914/x2 Mutation identification by enzymatic ligation or primer

extension, single segment, each segment

 

"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)

Key