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Test ID: FLIMB
Limb Girdle Muscular Dystrophy Evaluation

Secondary ID A test code used for billing and in test definitions created prior to November 2011

91635

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

Method Name A short description of the method used to perform the test

DNA Sequencing

 

MLPA

Reporting Name A shorter/abbreviated version of the Published Name for a test; an abbreviated test name

Limb Girdle Muscular Dystrophy

Specimen Type Describes the specimen type needed for testing

Whole Blood EDTA

Specimen Required Defines the optimal specimen. This field describes the type of specimen required to perform the test and the preferred volume to complete testing. The volume allows automated processing, fastest throughput and, when indicated, repeat or reflex testing.

Draw blood in a lavender-top (EDTA) tube(s). Ship 20 mL EDTA

whole blood ambient.

Note:  Collection date is required.

Specimen Minimum Volume Defines the amount of specimen required to perform an assay once, including instrument and container dead space. Submitting the minimum specimen volume makes it impossible to repeat the test or perform confirmatory or perform reflex testing. In some situations, a minimum specimen volume may result in a QNS (quantity not sufficient) result, requiring a second specimen to be collected.

10 mL

Reject Due To Identifies specimen types and conditions that may cause the specimen to be rejected

Specimens other than

Whole blood

Anticoagulants other than

EDTA

Hemolysis

NA

Thawing

NA

Lipemia

NA

Icteric

NA

Specimen Stability Information Provides a description of the temperatures required to transport a specimen to the laboratory. Alternate acceptable temperature(s) are also included.

Specimen TypeTemperatureTime
Whole Blood EDTAAmbient (preferred)72 hours
 Refrigerated 72 hours

Reference Values Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

A final report will be faxed under separate cover.

 

Test Performed By:  Athena Diagnostics

                                         377 Plantation St.

                                         Four Biotech Park

                                         Worcester, MA  01605

Day(s) and Time(s) Test Performed Outlines the days and times the test is performed. This field reflects the day and time the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time required before the test is performed. Some tests are listed as continuously performed, which means assays are performed several times during the day.

Monthly

Analytic Time Defines the amount of time it takes the laboratory to setup and perform the test. This is defined in number of days. The shortest interval of time expressed is "same day/1 day," which means the results may be available the same day that the sample is received in the testing laboratory. One day means results are available 1 day after the sample is received in the laboratory.

4-6 weeks

Maximum Laboratory Time Defines the maximum time from specimen receipt at Mayo Medical Laboratories until the release of the test result

4-6 weeks

Performing Laboratory Location The location of the laboratory that performs the test

Athena Diagnostics

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.

81404

LOINC® Code Information Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the result codes returned for this test or profile.

Result IDReporting NameLOINC Code
Z0103Limb Girdle Muscular DystrophyIn Process