Cardiology Genetic Testing Services

Gene panel for Brugada Syndromes now includes 7 genes and Long QT Syndrome now includes 12 genes

Condition	Gene Panel	Further Information
Hypertrophic Cardiomyopathy Print Forms Billing information	ACTC, CAV3, GLA, LAMP2, MTTG, MTTI, MTTK, MTTQ, MYBPC3, MYH7, MYL2, MYL3, PRKAG2, TNNC1, TNNI3, TNNT2, TPM1, TTR	Physician Guide Patient Guide Test Information sheet Medical necessity letter template
Dilated Cardiomyopathy Print Forms Billing information	ACTC, DES, LAMP2, LMNA, MTND1, MTND5, MTND6, MTTD, MTTH, MTTI, MTTK, MTTL1, MTTL2, MTTM, MTTQ, MTTS1, MTTS2, MYBPC3, MYH7, PLN, SGCD, TAZ, TNNI3, TNNT2, TPM1, TTR, ZASP	Physician Guide Patient Guide Test Information sheet Medical necessity letter template
Long QT Syndrome Updated panel, including LQT11 and LQT12 Print Forms Billing information	1. NextGeneration Sequencing Panel for LQTS: AKAP9, ANK2, CACNA1C, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, SCN4B, SCN5A, SNTA1 2. Microarray-based deletion/duplication testing for LQTS: AKAP9, ANK2, CACNA1C, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, SCN4B, SCN5A, SNTA1	Physician Guide Patient Guide Test Information sheet Medical necessity letter template
Short QT Syndrome Print Forms Billing information	KCNQ1, KCNJ2, KCNH2	Test Information sheet Medical necessity letter template
Brugada Syndrome Updated panel, including KCNE3 and SCN3B Print Forms Billing information	CACNA1C, CACNB2, GPD1L, KCNE3, SCN1B, SCN3B, SCN5A	Physician Guide Patient Guide Test Information sheet Medical necessity letter template
Arrhythmogenic Right Ventricular Cardiomyopathy Print Forms Billing information	DSC2, DSG2, DSP, JUP, PKP2, RYR2,TMEM43	Physician Guide Patient Guide Test Information sheet Medical necessity letter template
Catecholaminergic Polymorphic Ventricular Tachycardia Print Forms Billing information	CASQ2, RYR2, KCNJ2	Physician Guide Patient Guide Test Information sheet Medical necessity letter template
Marfan Syndrome Print Forms Billing information	FBN1, TGFBR1, TGFBR2	Test Information sheet
Noonan Syndrome Print Forms Billing information	BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, SOS1, SHOCK2 (S2G mutation only)	Test Information sheet
Supravalvular Aortic Stenosis Print Forms Billing information	ELN	Test Information sheet
Alagille Syndrome (Test #1004) Print Forms Billing information	JAG1	Test Information sheet
Sudden Cardiac Arrest (SCA) Print Forms Billing information	ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, RYR2, SCN5A	Test Information sheet
Carrier Testing Print Forms Billing information		Test Information sheet
Congenital Heart Disorder due to Micro Del/Dup Syndrome Print Forms Billing information	Whole genome array CGH	Test Information sheet