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HelpTest ID: HAD Huntington Disease, Molecular Analysis, Varies
Reporting Name
Huntington Disease AnalysisUseful For
Molecular confirmation of clinically suspected cases of Huntington disease (HD)
Presymptomatic testing for individuals with a family history of HD and a documented expansion in the HTT gene
Clinical Information
Huntington disease (HD) is an autosomal dominant progressive neurodegenerative disorder caused by a CAG repeat expansion in the HTT gene. HD is associated with cognitive impairment leading to dementia and a wide range of neuropsychiatric problems including apathy, depression, anxiety, and other behavioral disturbances. Additionally, affected individuals typically develop extrapyramidal symptoms (eg, dystonia, dysarthria, chorea, gait disturbance, postural instability, oculomotor dysfunction).
Interpretation
An interpretive report will be provided.
Report Available
7 to 11 days upon receipt of sufficient clinical information for testingDay(s) Performed
Wednesday
Clinical Reference
1. ACMG/ASHG statement. Laboratory guidelines for Huntington disease genetic testing. The American College of Medical Genetics/American Society of Human Genetics Huntington Disease Genetic Testing Working Group. Am J Hum Genet. 1998 May;62(5):1243-1247
2. Potter NT, Spector EB, Prior TW: Technical standards and guidelines for Huntington disease testing. Genet Med. 2004;6(1):61-65. doi: 10.1097/01.gim.0000106165.74751.15
Method Name
Polymerase Chain Reaction (PCR)
Specimen Type
VariesShipping Instructions
Specimen preferred to arrive within 96 hours of collection.
Necessary Information
Molecular Genetics: Neurology Patient Information or a recent clinical note is required. Testing cannot proceed without this information.
Specimen Required
Patient Preparation: A previous bone marrow transplant from an allogenic donor will interfere with testing. Call 800-533-1710 for instructions for testing patients who have received a bone marrow transplant.
Specimen Type: Whole blood
Container/Tube:
Preferred: Lavender top (EDTA) or yellow top (ACD)
Acceptable: Any anticoagulant
Specimen Volume: 3 mL
Collection Instructions:
1. Invert several times to mix blood.
2. Send whole blood specimen in original tube. Do not aliquot.
Specimen Minimum Volume
1 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Varies | Ambient (preferred) | ||
| Frozen | |||
| Refrigerated | |||
Special Instructions
Reference Values
Normal alleles: <27 CAG repeats
Intermediate alleles: 27-35 CAG repeats
Reduced penetrance: 36-39 CAG repeats
Full penetrance: >39 CAG repeats
An interpretive report will be provided.
Test Classification
This test was developed, and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
81271-HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| HAD | Huntington Disease Analysis | 21763-8 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 52885 | Result Summary | 50397-9 |
| 52886 | Result | 53782-9 |
| 52887 | Interpretation | 69047-9 |
| 52888 | Reason for Referral | 42349-1 |
| 52889 | Specimen | 31208-2 |
| 52890 | Source | 31208-2 |
| 52891 | Released By | 18771-6 |
Forms
1. New York Clients-Informed consent is required. Document on the request form or electronic order that a copy is on file. The following documents are available:
-Informed Consent for Genetic Testing (T576)
-Informed Consent for Genetic Testing-Spanish (T826)
2. If not ordering electronically, complete, print, and send a Neurology Specialty Testing Client Test Request (T732) with the specimen.
mml-Movement-Disorders