Test Directory

Test Code
HTTGT
Test Name
Huntington Disease Repeat Exp
CPT Codes
81271
Expected Turnaround Time
17 - 18 days
Clinical Utility

To confirm the clinical diagnosis of Huntington disease (HD) in affected individuals; to provide pre-symptomatic predictive diagnosis of HD in individuals with positive family history; to identify individuals at risk of having affected offspring.

Specimen and Container Info

Specimen Type: Whole Blood

Preferred Collection Container: Lavender Top (EDTA)

Alternate Collection Container: Green Top (Sodium Heparin) or Pale-Yellow Top (ACD Solution B)

Desired Specimen Volume: 5 mL

Collection Instructions
  1. Collect 2 lavender top (EDTA) tubes via venipuncture.
  2. Fill tubes to capacity with whole blood.
Processing and Submission Instructions

A DNA Testing for Huntington Disease Waiver signed by the referring health care physician is required for testing.

  1. Transport 5 mL of whole blood in the original collection containers.
  2. Do not reject specimen if the waiver is not received. Forward samples to Quest and fax the waiver to the referring physician. The waiver must be completed and faxed back to the number on the waiver within 4 days of blood draw.

Referral Testing: Notate on the batch sheet "waiver has been faxed to provider" if not received with the sample.

Transport Instructions

Transport to the laboratory at room temperature.

Stability Requirements

Room Temperature

8 days

Refrigerated

8 days

Causes for Rejection
  • Waivers not received within 8 days from draw will result in test cancellation
Methodology
Capillary Gel Electrophoresis | Fluorescent Polymerase Chain Reaction
Reference Intervals

See patient report.

Limitations

This testing methodology may not detect repeat expansions with more than 105 CAG repeats resulting in apparent homozygosity for smaller allele. Large repeat expansion sizes are associated with juvenile onset Huntington's disease.

Alternate Names
  • Huntington Disease Mutation Analysis
  • (CAG)n expansion
  • Huntington chorea
  • HTT gene CAG repeats
Reference Lab
Quest Diagnostics Nichols Institute
Testing Schedule
Routine, 1 time per week