ARUP's Laboratory Test Directory

0051110: Cystic Fibrosis (CFTR) Sequencing

[ image for: Patient History For Cystic Fibrosis]
Patient History For Cystic Fibrosis
  

Test Mnemonic: CF-CFTR
Methodology: Polymerase Chain Reaction/Scanning/Sequencing

Performed: Mon-Sat

Reported: 19-28 days

Specimen Required:  
Collect: One 3 mL lavender (EDTA), pink (K2EDTA) or yellow (ACD Solution A or B).

Transport: 3 mL whole blood at 2-8°C. (Min: 2 mL)

Pediatric Collection/Transport: 2 mL whole blood at 2-8°C.

Remarks: Patient History Form is available on the ARUP Web site or by contacting ARUP Client Services.

Stability: Ambient: 3 days; Refrigerated: 1 week; Frozen: Unacceptable

Reference Interval:
By report

Interpretive Data:
Background Information for Cystic Fibrosis (CFTR) Sequencing:
Characteristics:
Chronic sino-pulmonary disease, gastrointestinal malabsorption/pancreatic insufficiency and obstructive azoospermia; atypical cystic fibrosis is often limited to a single organ system.
Incidence:
1 in 3000 Caucasians or Ashkenazi Jewish, 1 in 8000 Hispanics, 1 in 15,000 African Americans, 1 in 32,000 Asians.
Inheritance:
Autosomal recessive.
Penetrance:
High for severe mutations, variable for mild mutations.
Cause:
Two CFTR gene mutations on different chromosomes; atypical CF often caused by two mild mutations, one mutation and one variant or a severe mutation and a variant.
Mutations Detected:
Point mutations and small insertions/deletions within the coding region and intron/exon boundaries.
Methods:
Bidirectional sequencing of the entire CFTR coding region and intron/exon boundaries.
Analytical Sensitivity and Specificity:
99%.
Clinical Sensitivity:
97%
Limitations
: Large gene deletions/duplications will not be detected.



Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com.

Please refer to Statement C in the Compliance Statements section in the front of the Laboratory Test Directory.



Note:
This test is offered for affected individuals only. Please consult with ARUP Genetic Counselors for appropriate use of test.

CPT Code(s):
83891 Isolation; 83898 x30 Amplification; 83904 x30 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report. Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

 

 

 
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