Test Code GNADM Hereditary Thrombotic Thrombocytopenic Purpura, ADAMTS13 Gene, Next-Generation Sequencing, Varies
Ordering Guidance
This test is designed to detect disease-causing variants in the ADAMTS13 gene and to be utilized for genetic confirmation of a clinical diagnosis of hereditary thrombotic thrombocytopenic purpura (TTP). Genetic testing for hereditary TTP should only be considered if a patient's clinical presentation and initial ADAMTS-13 activity and functional inhibitor screens indicate a diagnosis.
This test does not measure ADAMTS-13 activity or the presence/absence of inhibitors. For assessment of ADAMTS-13 activity and inhibitor status, order ADM13 / ADAMTS13 Activity and Inhibitor Profile, Plasma.
Targeted testing for familial variants (also called site-specific or known variants testing) is available for the ADAMTS13 gene. See FMTT / Familial Variant, Targeted Testing, Varies. To obtain more information about this testing option, call 800-533-1710.
Shipping Instructions
Necessary Information
Rare Coagulation Disorder Patient Information is required. Testing may proceed without the patient information. However, the information aids in providing a more thorough interpretation. Ordering healthcare professionals are strongly encouraged to fill out the form and send it with the specimen.
Specimen Required
Specimen Type: Whole blood
Patient Preparation: A previous bone marrow transplant from an allogenic donor will interfere with testing. For information about testing patients who have received a bone marrow transplant, call 800-533-1710.
Container/Tube:
Preferred: Lavender top (EDTA)
Acceptable: Yellow top (ACD)
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 Stability Information: Ambient (preferred) 4 days/Refrigerated 4 days
Additional Information: To ensure minimum volume and concentration of DNA are met, the requested volume must be submitted. Testing may be canceled if DNA requirements are inadequate.
Forms
1. Rare Coagulation Disorder Patient Information (T824) is required.
2. 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)
3. If not ordering electronically, complete, print, and send a Coagulation Test Request (T753) with the specimen.
Useful For
Evaluating hereditary thrombotic thrombocytopenic purpura (TTP) in patients with a personal or family history suggestive of thrombotic microangiopathy
Confirming a hereditary TTP diagnosis with the identification of known or suspected disease-causing alteration(s) in the ADAMTS13 gene
Determining the disease-causing alterations within the ADAMTS13 gene to delineate the underlying molecular defect in a patient with a laboratory diagnosis of hereditary TTP
Identifying the causative alterations for genetic counseling purposes
Prognosis and risk assessment based on genotype-phenotype correlations
Carrier testing for close family members of an individual with a diagnosis of hereditary TTP
This test is not intended for prenatal diagnosis.
Special Instructions
Method Name
Sequence Capture and Targeted Next-Generation Sequencing (NGS) followed by Polymerase Chain Reaction (PCR) and Sanger Sequencing
Reporting Name
ADAMTS13 Gene, Full Gene NGSSpecimen Type
VariesSpecimen Minimum Volume
1 mL
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Varies | Varies | |
Reject Due To
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.Day(s) Performed
Varies
Report Available
28 to 42 daysPerforming Laboratory
Mayo Clinic Laboratories in Rochester
Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
81479
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| GNADM | ADAMTS13 Gene, Full Gene NGS | 99960-7 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 619230 | Test Description | 62364-5 |
| 619231 | Specimen | 31208-2 |
| 619232 | Source | 31208-2 |
| 619233 | Result Summary | 50397-9 |
| 619234 | Result | 82939-0 |
| 619235 | Interpretation | 69047-9 |
| 619236 | Additional Results | 82939-0 |
| 619237 | Resources | 99622-3 |
| 619238 | Additional Information | 48767-8 |
| 619239 | Method | 85069-3 |
| 619240 | Genes Analyzed | 82939-0 |
| 619241 | Disclaimer | 62364-5 |
| 619242 | Released By | 18771-6 |