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St. John Health System
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Familial Cardiomyopathy Panel

Order Name Fam Cardiomyop
Test Number: 5194953
Revision Date 06/19/2023
Test Name Methodology LOINC Code
Familial Cardiomyopathy Panel
Polymerase Chain Reaction  
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 8.5 mL (3 mL) Whole Blood ACD Solution A or B (Yellow Top) Room Temperature
Alternate 1 8.5 mL (3 mL) Whole Blood EDTA (Lavender Top) Room Temperature
Alternate 2 1 Saliva Oragene Dx saliva kit Room Temperature
Alternate 3 1 Buccal swab PurFlock buccal swab kit Room Temperature
Instructions Specimen Type: Whole blood or PurFlock buccal swab kit or Oragene Dx saliva kit
Specimen Volume: 8.5 mL whole blood or PurFlock buccal swab kit or Oragene Dx saliva kit
Mininum Volume: 3 mL whole blood or PurFlock buccal swab kit or Oragene Dx saliva 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 min prior to collection.
Specimen Storage: Maintain specimen at room temperature or refrigerate at 4C Do not freeze.
Special Instructions: In cases in which there is a known variant documented in the family, the physician may prefer to order Targeted Variant Analysis, test code 5194970. Test orders must include an attestation that the provider has the patient's informed consent for genetic testing.
GENERAL INFORMATION
Expected TAT 14 - 21 days In some cases, additional time may be required for confirmatory or reflex tests. 
Clinical Use This test includes the following genes: ABCC9, ACTC1, ACTN2, ALMS1, ALPK3, ANKRD1, APOA1, BAG3, CALR3, CAV3, CRYAB, CSRP3, DES, DMD, DNAJC19, DOLK, DSC2, DSG2, DSP, DTNA, EMD, EYA4, FHL1, FKRP, FKTN, FLNC, GLA, JPH2, JUP, LAMA4, LAMP2, LDB3, LMNA, MYBPC3, MYH6, MYH7, MYL2, MYL3, MYLK2, MYOT, MYOZ2, MYPN, NEBL, NEXN, PDLIM3, PKP2, PLN, PRDM16, PRKAG2, RBM20, RYR2, SCN5A, SGCD, SLC25A4, TAFAZZIN, TCAP, TGFB3, TMEM43, TMPO, TNNC1, TNNI3, TNNT2, TPM1, TRIM63, TTN, TTR and VCL. 
Notes Labcorp Test Code: 482207
CPT Code(s) 81439
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Reference Lab