Spinal Muscular Atrophy (SMA)

CPT: 81329
Print Share

Synonyms

  • SMA testing
  • SMA types I, II, III
  • SMN1 copy number analysis

Test Includes

This test includes the following gene: SMN1.


Special Instructions

To test fetal specimens, including cord blood, order Spinal Muscular Atrophy (SMA), Fetal Analysis [481651].

Test orders must include an attestation that the provider has the patient's informed consent for genetic testing.


Expected Turnaround Time

8 - 14 days (In some cases, additional time may be required for confirmatory or reflex tests.)


Specimen Requirements


Specimen

Whole blood or PurFlock buccal swab kit or Oragene Dx 500 saliva kit


Volume

8.5 mL whole blood or PurFlock buccal swab kit or Oragene Dx saliva kit


Minimum Volume

3 mL whole blood or PurFlock buccal swab kit or Oragene Dx saliva kit


Container

Yellow-top (ACD-A) tube or lavender-top (EDTA) tube or PurFlock buccal swab kit or Oragene Dx 500 saliva collection kit


Collection

Standard phlebotomy; follow PurFlock buccal swab kit or Oragene Dx 500 saliva kit collection instructions. Do not eat, drink, smoke, or chew gum 30 minutes prior to collection.


Storage Instructions

Maintain specimen at room temperature or refrigerate at 4°C. Do not freeze.


Stability Requirements

Whole blood: 4 days at room temperature or 4°C

Buccal: 60 days at room temperature

Saliva: 60 days at room temperature


Causes for Rejection

Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container or blood specimens more than four days post draw


Test Details


Use

This test is used for carrier screening for spinal muscular atrophy and diagnostic testing for individuals suspected of having spinal muscular atrophy.


Limitations

Technologies used do not detect germline mosaicism and do not rule out the presence of large chromosomal aberrations including rearrangements and gene fusions, or variants in regions or genes not included in this test, or possible inter/intragenic interactions between variants or repeat expansions.

Variant classification and/or interpretation may change over time if more information becomes available. False positive or false negative results may occur for reasons that include: rare genetic variants, sex chromosome abnormalities, pseudogene interference, blood transfusions, bone marrow transplantation, somatic or tissue-specific mosaicism, mislabeled samples or erroneous representation of family relationships.

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.


Methodology

Copy number assessment of SMN1 exon 7 by quantitative polymerase chain reaction (qPCR); reflex testing to SMN2 copy number analysis is performed for individuals with 0 copies of SMN1. For carrier screening, when two copies of SMN1 are detected, allelic discrimination qPCR targeting c.*3+80T>G in SMN1 is performed. The presence or absence of c.*3+80T>G correlates with an increased or decreased risk, respectively, of being a silent carrier (2+0).


References

Deignan JL, Astbury C, Behlmann A, et al. Addendum: Technical standards and guidelines for spinal muscular atrophy testing. Genet Med. 2021 Dec;23(12):2462.33046848
Prior TW, Leach ME, Finanger E. Spinal Muscular Atrophy. In: GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993.2000 Feb 24 [updated 2020 Dec 3].20301526

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
481630 Spinal Muscular Atrophy (SMA) 481608 Ethnicity 42784-9
481630 Spinal Muscular Atrophy (SMA) 481609 Specimen Type 31208-2
481630 Spinal Muscular Atrophy (SMA) 481610 Genetic Counselor 89993-0
481630 Spinal Muscular Atrophy (SMA) 481611 Indication 42349-1
481630 Spinal Muscular Atrophy (SMA) 481612 Result: 41053-0
481630 Spinal Muscular Atrophy (SMA) 482025 SMN2 Copy Number Reflex 54449-7
481630 Spinal Muscular Atrophy (SMA) 481613 Interpretation 53039-4
481630 Spinal Muscular Atrophy (SMA) 481614 General Comments 8262-8
481630 Spinal Muscular Atrophy (SMA) 481621 Recommendations 62385-0
481630 Spinal Muscular Atrophy (SMA) 481622 Additional ClinicalInformation 55752-0
481630 Spinal Muscular Atrophy (SMA) 481623 Comments 8251-1
481630 Spinal Muscular Atrophy (SMA) 481624 Methods/Limitations 49549-9
481630 Spinal Muscular Atrophy (SMA) 481625 Information Table 36908-2
481630 Spinal Muscular Atrophy (SMA) 481626 References 75608-0
481630 Spinal Muscular Atrophy (SMA) 481627 Director Review/Release 72486-4
481630 Spinal Muscular Atrophy (SMA) 481628 PDF 51969-4

For Providers

Please login to order a test

Order a Test

© 2021 Laboratory Corporation of America® Holdings and Lexi-Comp Inc. All Rights Reserved.

CPT Statement/Profile Statement

The LOINC® codes are copyright © 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf