Huntington Disease (HD) CAG Repeat Expansion, Fetal
Ordering Recommendation
Prenatal diagnostic testing for Huntington disease (HD). A completed Huntington Disease Consent Form, signed by the patient and ordering health care provider, is required. Documentation of a full penetrance HD-causing allele in a biological parent is required. Fetal testing will not be performed without prior approval; please contact an ARUP genetic counselor at 800-242-2787 ext. 2141.
New York DOH Approval Status
Specimen Required
Amniotic fluid OR cultured amniocytes OR cultured CVS: Two T-25 flasks at 80 percent confluency.
AND maternal whole blood: lavender (K2 or K3EDTA), pink (K2EDTA), yellow (ACD solution A or B).
If the client is unable to culture, order test Cytogenetics Grow and Send (ARUP test code 0040182) in addition to this test and ARUP will culture upon receipt (culturing fees will apply). If you have any questions, contact ARUP's Genetics Processing at 800-522-2787 ext. 3301.
Amniotic fluid: Transport 10 mL amniotic fluid in a sterile container (min: 5 mL) OR cultured amniocytes OR cultured CVS: Fill flasks with culture media. Backup cultures must be retained at the client's institution until testing is complete.
AND maternal whole blood: 2 mL whole blood (min: 1 mL).
Amniotic fluid, cultured amniocytes, or cultured CVS: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment due to lability of cells.
Maternal whole blood: Room temperature.
Maternal: Frozen specimens in glass collection tubes.
Fetal Specimen: Ambient 48 hours; Refrigerated: unacceptable; Frozen: Unacceptable
Maternal whole blood: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
Methodology
Polymerase Chain Reaction (PCR) / Capillary Electrophoresis / Fragment Analysis
Performed
Varies
Reported
7-10 days
If culture is required, an additional 1 to 2 weeks is required for processing time. Prenatal specimens with maternal cell contamination may give false-negative results.
Reference Interval
Interpretive Data
Refer to report.
Laboratory Developed Test (LDT)
Note
Hotline History
Hotline History
CPT Codes
81271; 81265 Fetal Cell Contamination (FCC)
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0050548 | Maternal Contamination Study Fetal Spec | 59266-7 |
0050612 | Maternal Contam Study, Maternal Spec | 66746-9 |
3019938 | Huntington Disease Fetal Specimen | 31208-2 |
3019939 | Huntington Disease Fetal Allele 1 | 49637-2 |
3019940 | Huntington Disease Fetal Allele 2 | 49638-0 |
3019941 | Huntington Disease Fetal Interpretation | 50621-2 |
Aliases
- HD genetic testing
- HTT genetic testing