Ordering Recommendation

Confirm a suspected clinical diagnosis of Noonan syndrome, cardiofacial cutaneous syndrome, costello syndrome, legius syndrome, Noonan syndrome with multiple lentigines (LEOPARD syndrome), Noonan-like syndrome, and Noonan-like syndrome with loose anagen hair (NS/LAH).

Mnemonic
NOONAN SEQ
Methodology

Massively Parallel Sequencing

Performed

Varies

Reported

3-6 weeks

New York DOH Approval Status
Specimens from New York clients will be sent out to a New York DOH approved laboratory, if possible.
Specimen Required
Patient Preparation
Collect

Lavender (EDTA) or yellow (ACD Solution A or B).

Specimen Preparation

Transport 3 mL whole blood. (Min: 1 mL)

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions
Remarks
Stability

Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable

Reference Interval

By report

Interpretive Data

Refer to report.

Compliance Category

Laboratory Developed Test (LDT)

Note

GENES TESTED: BRAF, CBL, HRAS, KRAS, LZTR1, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RASA2, RIT1, SHOC2, SOS1, SOS2, SPRED1

Hotline History
N/A
CPT Codes

81442

Components
Component Test Code* Component Chart Name LOINC
2010773 Noonan Disorders Sequencing Specimen
2010774 Noonan Disorders Sequencing Interp
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Cardiofaciocutaneous syndrome
  • CFCS
  • Costello syndrome
  • CS
  • LEOPARD syndrome
  • MAPK
  • Multiple lentigines syndrome
  • Noonan-like syndrome with loose anagen hair
  • NS/LAH
  • RAS
  • Rasopathies
  • Rasopathy
Noonan Spectrum Disorders Panel, Sequencing