Peroxisomal Disorder Panel, Sequencing
Ordering Recommendation
Use to confirm a diagnosis of Zellweger spectrum disorder, rhizomelic chondrodysplasia punctata, and other heritable forms of peroxisomal dysfunction in symptomatic individuals. This test is not suitable for X-linked adrenoleukodystrophy/adrenomyeloneuropathy (ABCD1).
New York DOH Approval Status
Specimen Required
Lavender (EDTA) or yellow (ACD solution A or B).
Transport 3 mL whole blood. (Min: 1.5 mL)
New York State Clients: 5 mL (Min: 3 mL)
Refrigerated.
Serum or plasma; grossly hemolyzed or frozen specimens; saliva; buccal brush or swab; FFPE tissue.
Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: Unacceptable
New York State Clients: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: Unacceptable
Methodology
Massively Parallel Sequencing
Performed
Varies
Reported
10-15 days
Reference Interval
Refer to report
Interpretive Data
Refer to report.
Laboratory Developed Test (LDT)
Note
Genes tested: ABCD3 , ACBD5 ,* ACOX1 , AGPS , AGXT , AMACR , DNM1L , FAR1 , GNPAT , HSD17B4 , PEX1 , PEX10 , PEX11B , PEX12 , PEX13 , PEX14 , PEX16 , PEX19 , PEX2 , PEX26 , PEX3 , PEX5 , PEX6 , PEX7 , PHYH , SCP2 *
*One or more exons are not covered by sequencing for the indicated gene; see Additional Technical Information.
When testing cord blood specimens, the presence of maternal cell contamination (MCC) is possible, which may impact result interpretation. If clinically warranted, testing for MCC is available, at a charge, through ARUP Laboratories.
Hotline History
CPT Codes
81479
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 3002701 | Peroxisomal Disorders Specimen | |
| 3002702 | Peroxisomal Disorders Interp |
Aliases
- bifunctional enzyme deficiency
- congenital bile acid synthesis defect
- defects of bile acid synthesis
- Heimler syndrome
- hyperoxaluria
- infantile Refsum disease
- Mitchell syndrome
- peroxisomal acyl-CoA oxidase deficiency
- Perrault syndrome
- PEX
- primary hyperoxaluria
- RCDP
- Refsum disease
- rhizomelic chondrodysplasia punctata
- Zellweger spectrum disorder
- Zellweger syndrome
















