Ordering Recommendations

This assay is currenlty being sent out to ARUP.

For specific assay and pre-authorization questions, please contact ARUP directly.

Used in the assessment of patients with mental retardation, adult onset tremor/ataxia in men and/or premature ovarian failure in women.

Available Stat

No

Performing Lab

Medical Genomics - Molecular Diagnostics

Performed

Run 2x per week, Wednesday & Friday, day shift only

Methodology

Southern blot for methylation analysis.
PCR and capillary electrophoresis for number of CGG repeats

Reported

10-14 days

Additional Information

Males: 
Presence of a full mutation with complete methylation is associated with mental retardation. Methylation mosaicism and/or premutation along with a full mutation has been shown to reduce the severity of mental retardation.  

Females: 
A premutation in a female is not associated with mental retardation. The presence of a full mutation in a female carries approximately 30% risk of mild mental retardation.  

The chance that a premutation could expand to a full mutation when passed from a female carrier to her offspring is shown in the following table:  

Premutation CGG repeats

Risk of Expansion to Full Muatation

55-59

4%

60-69

5%

70-79

31%

80-89

58%

90-99

80%

>99

approx 100%



Adult onset disease: 
Fragile X-associated tremor / ataxia syndrome (FXTAS). An FMR-1 premutation may confer an adult risk for tremor and ataxia. Not all men with an FMR-1 premutation will develop FXTAS. The risk of developing FXTAS is age dependent and ranges from 17% (age 50- 59), 38% (age 60-69), 45% (age 70- 79) and 75%(age >= 80). However, it is estimated that only 20-30% of men with an FMR-1 premutation will develop the syndrome.  

FMR-1 related premature ovarian failure (POF): Women with an FMR-1 premutation have an approximately 21% risk of developing POF as opposed to 1% in the general population.  

If a mutation is detected it is recommended that the patient seek genetic counseling.  

This test was developed and its performance characteristics determined by the Clinical Laboratories at the Medical Center at UC San Francisco. It has not been cleared or approved by the U.S. Food and Drug Administration.

Reflex Testing

An interpretation of this test by a laboratory physician will automatically be performed and billed for separately. 

Synonyms

  • Mental retardation
  • ataxia
  • ovarian failure
  • FRAXA
  • FMR-1

Sample Type

EDTA whole blood, Amniocyte culture

Collect

Lavender top preferred, Blue (citrate) and Yellow (ACD) tops acceptable

Amount to Collect

3 mL blood

Preferred Volume

3 mL blood

Minimum Volume

2 mL blood

Remarks

Do not collect sample in heparin. Keep sample refrigerated for overnight or longer storage.

Unacceptable Conditions

Inadequate sample. Samples collected in heparin.

Test Code

FRX

Performing Lab

Medical Genomics - Molecular Diagnostics

Specimen Preparation

Do not centrifuge the specimen. Store at room temperature. Refrigerated samples are acceptable.

Preferred Volume

3 mL blood

Minimum Volume

2 mL blood

Unacceptable Conditions

Inadequate sample. Samples collected in heparin.

Reference Interval

Results are reported as "No Mutation Detected", "Pre-mutation Present" or "Full Mutation Present".  

Number of CGG repeats is also reported.  

 

Result

CGG Repeats

Normal

< 45

Intermediate

45-54

Premutation

55-200

Full mutation

>200

Additional Information

Males: 
Presence of a full mutation with complete methylation is associated with mental retardation. Methylation mosaicism and/or premutation along with a full mutation has been shown to reduce the severity of mental retardation.  

Females: 
A premutation in a female is not associated with mental retardation. The presence of a full mutation in a female carries approximately 30% risk of mild mental retardation.  

The chance that a premutation could expand to a full mutation when passed from a female carrier to her offspring is shown in the following table:  

Premutation CGG repeats

Risk of Expansion to Full Muatation

55-59

4%

60-69

5%

70-79

31%

80-89

58%

90-99

80%

>99

approx 100%



Adult onset disease: 
Fragile X-associated tremor / ataxia syndrome (FXTAS). An FMR-1 premutation may confer an adult risk for tremor and ataxia. Not all men with an FMR-1 premutation will develop FXTAS. The risk of developing FXTAS is age dependent and ranges from 17% (age 50- 59), 38% (age 60-69), 45% (age 70- 79) and 75%(age >= 80). However, it is estimated that only 20-30% of men with an FMR-1 premutation will develop the syndrome.  

FMR-1 related premature ovarian failure (POF): Women with an FMR-1 premutation have an approximately 21% risk of developing POF as opposed to 1% in the general population.  

If a mutation is detected it is recommended that the patient seek genetic counseling.  

This test was developed and its performance characteristics determined by the Clinical Laboratories at the Medical Center at UC San Francisco. It has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Codes

81243, 81244

LDT or Modified FDA

Yes

LOINC Codes

36913-2

Available Stat

No

Ordering Recommendations

This assay is currenlty being sent out to ARUP.

For specific assay and pre-authorization questions, please contact ARUP directly.

Used in the assessment of patients with mental retardation, adult onset tremor/ataxia in men and/or premature ovarian failure in women.

Test Code

FRX

Performing Lab

Medical Genomics - Molecular Diagnostics

Performed

Run 2x per week, Wednesday & Friday, day shift only

Methodology

Southern blot for methylation analysis.
PCR and capillary electrophoresis for number of CGG repeats

Remarks

Do not collect sample in heparin. Keep sample refrigerated for overnight or longer storage.

Collect

Lavender top preferred, Blue (citrate) and Yellow (ACD) tops acceptable

Amount to Collect

3 mL blood

Sample Type

EDTA whole blood, Amniocyte culture

Preferred Volume

3 mL blood

Minimum Volume

2 mL blood

Unacceptable Conditions

Inadequate sample. Samples collected in heparin.

Specimen Preparation

Do not centrifuge the specimen. Store at room temperature. Refrigerated samples are acceptable.

Reference Interval

Results are reported as "No Mutation Detected", "Pre-mutation Present" or "Full Mutation Present".  

Number of CGG repeats is also reported.  

 

Result

CGG Repeats

Normal

< 45

Intermediate

45-54

Premutation

55-200

Full mutation

>200

Synonyms

  • Mental retardation
  • ataxia
  • ovarian failure
  • FRAXA
  • FMR-1

Reported

10-14 days

Reflex Testing

An interpretation of this test by a laboratory physician will automatically be performed and billed for separately. 

Additional Information

Males: 
Presence of a full mutation with complete methylation is associated with mental retardation. Methylation mosaicism and/or premutation along with a full mutation has been shown to reduce the severity of mental retardation.  

Females: 
A premutation in a female is not associated with mental retardation. The presence of a full mutation in a female carries approximately 30% risk of mild mental retardation.  

The chance that a premutation could expand to a full mutation when passed from a female carrier to her offspring is shown in the following table:  

Premutation CGG repeats

Risk of Expansion to Full Muatation

55-59

4%

60-69

5%

70-79

31%

80-89

58%

90-99

80%

>99

approx 100%



Adult onset disease: 
Fragile X-associated tremor / ataxia syndrome (FXTAS). An FMR-1 premutation may confer an adult risk for tremor and ataxia. Not all men with an FMR-1 premutation will develop FXTAS. The risk of developing FXTAS is age dependent and ranges from 17% (age 50- 59), 38% (age 60-69), 45% (age 70- 79) and 75%(age >= 80). However, it is estimated that only 20-30% of men with an FMR-1 premutation will develop the syndrome.  

FMR-1 related premature ovarian failure (POF): Women with an FMR-1 premutation have an approximately 21% risk of developing POF as opposed to 1% in the general population.  

If a mutation is detected it is recommended that the patient seek genetic counseling.  

This test was developed and its performance characteristics determined by the Clinical Laboratories at the Medical Center at UC San Francisco. It has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Codes

81243, 81244

LDT or Modified FDA

Yes

LOINC Codes

36913-2
Ordering

Ordering Recommendations

This assay is currenlty being sent out to ARUP.

For specific assay and pre-authorization questions, please contact ARUP directly.

Used in the assessment of patients with mental retardation, adult onset tremor/ataxia in men and/or premature ovarian failure in women.

Available Stat

No

Performing Lab

Medical Genomics - Molecular Diagnostics

Performed

Run 2x per week, Wednesday & Friday, day shift only

Methodology

Southern blot for methylation analysis.
PCR and capillary electrophoresis for number of CGG repeats

Reported

10-14 days

Additional Information

Males: 
Presence of a full mutation with complete methylation is associated with mental retardation. Methylation mosaicism and/or premutation along with a full mutation has been shown to reduce the severity of mental retardation.  

Females: 
A premutation in a female is not associated with mental retardation. The presence of a full mutation in a female carries approximately 30% risk of mild mental retardation.  

The chance that a premutation could expand to a full mutation when passed from a female carrier to her offspring is shown in the following table:  

Premutation CGG repeats

Risk of Expansion to Full Muatation

55-59

4%

60-69

5%

70-79

31%

80-89

58%

90-99

80%

>99

approx 100%



Adult onset disease: 
Fragile X-associated tremor / ataxia syndrome (FXTAS). An FMR-1 premutation may confer an adult risk for tremor and ataxia. Not all men with an FMR-1 premutation will develop FXTAS. The risk of developing FXTAS is age dependent and ranges from 17% (age 50- 59), 38% (age 60-69), 45% (age 70- 79) and 75%(age >= 80). However, it is estimated that only 20-30% of men with an FMR-1 premutation will develop the syndrome.  

FMR-1 related premature ovarian failure (POF): Women with an FMR-1 premutation have an approximately 21% risk of developing POF as opposed to 1% in the general population.  

If a mutation is detected it is recommended that the patient seek genetic counseling.  

This test was developed and its performance characteristics determined by the Clinical Laboratories at the Medical Center at UC San Francisco. It has not been cleared or approved by the U.S. Food and Drug Administration.

Reflex Testing

An interpretation of this test by a laboratory physician will automatically be performed and billed for separately. 

Synonyms

  • Mental retardation
  • ataxia
  • ovarian failure
  • FRAXA
  • FMR-1
Collection

Sample Type

EDTA whole blood, Amniocyte culture

Collect

Lavender top preferred, Blue (citrate) and Yellow (ACD) tops acceptable

Amount to Collect

3 mL blood

Preferred Volume

3 mL blood

Minimum Volume

2 mL blood

Remarks

Do not collect sample in heparin. Keep sample refrigerated for overnight or longer storage.

Unacceptable Conditions

Inadequate sample. Samples collected in heparin.
Processing

Test Code

FRX

Performing Lab

Medical Genomics - Molecular Diagnostics

Specimen Preparation

Do not centrifuge the specimen. Store at room temperature. Refrigerated samples are acceptable.

Preferred Volume

3 mL blood

Minimum Volume

2 mL blood

Unacceptable Conditions

Inadequate sample. Samples collected in heparin.
Result Interpretation

Reference Interval

Results are reported as "No Mutation Detected", "Pre-mutation Present" or "Full Mutation Present".  

Number of CGG repeats is also reported.  

 

Result

CGG Repeats

Normal

< 45

Intermediate

45-54

Premutation

55-200

Full mutation

>200

Additional Information

Males: 
Presence of a full mutation with complete methylation is associated with mental retardation. Methylation mosaicism and/or premutation along with a full mutation has been shown to reduce the severity of mental retardation.  

Females: 
A premutation in a female is not associated with mental retardation. The presence of a full mutation in a female carries approximately 30% risk of mild mental retardation.  

The chance that a premutation could expand to a full mutation when passed from a female carrier to her offspring is shown in the following table:  

Premutation CGG repeats

Risk of Expansion to Full Muatation

55-59

4%

60-69

5%

70-79

31%

80-89

58%

90-99

80%

>99

approx 100%



Adult onset disease: 
Fragile X-associated tremor / ataxia syndrome (FXTAS). An FMR-1 premutation may confer an adult risk for tremor and ataxia. Not all men with an FMR-1 premutation will develop FXTAS. The risk of developing FXTAS is age dependent and ranges from 17% (age 50- 59), 38% (age 60-69), 45% (age 70- 79) and 75%(age >= 80). However, it is estimated that only 20-30% of men with an FMR-1 premutation will develop the syndrome.  

FMR-1 related premature ovarian failure (POF): Women with an FMR-1 premutation have an approximately 21% risk of developing POF as opposed to 1% in the general population.  

If a mutation is detected it is recommended that the patient seek genetic counseling.  

This test was developed and its performance characteristics determined by the Clinical Laboratories at the Medical Center at UC San Francisco. It has not been cleared or approved by the U.S. Food and Drug Administration.

Administrative

CPT Codes

81243, 81244

LDT or Modified FDA

Yes

LOINC Codes

36913-2
Complete View

Available Stat

No

Ordering Recommendations

This assay is currenlty being sent out to ARUP.

For specific assay and pre-authorization questions, please contact ARUP directly.

Used in the assessment of patients with mental retardation, adult onset tremor/ataxia in men and/or premature ovarian failure in women.

Test Code

FRX

Performing Lab

Medical Genomics - Molecular Diagnostics

Performed

Run 2x per week, Wednesday & Friday, day shift only

Methodology

Southern blot for methylation analysis.
PCR and capillary electrophoresis for number of CGG repeats

Remarks

Do not collect sample in heparin. Keep sample refrigerated for overnight or longer storage.

Collect

Lavender top preferred, Blue (citrate) and Yellow (ACD) tops acceptable

Amount to Collect

3 mL blood

Sample Type

EDTA whole blood, Amniocyte culture

Preferred Volume

3 mL blood

Minimum Volume

2 mL blood

Unacceptable Conditions

Inadequate sample. Samples collected in heparin.

Specimen Preparation

Do not centrifuge the specimen. Store at room temperature. Refrigerated samples are acceptable.

Reference Interval

Results are reported as "No Mutation Detected", "Pre-mutation Present" or "Full Mutation Present".  

Number of CGG repeats is also reported.  

 

Result

CGG Repeats

Normal

< 45

Intermediate

45-54

Premutation

55-200

Full mutation

>200

Synonyms

  • Mental retardation
  • ataxia
  • ovarian failure
  • FRAXA
  • FMR-1

Reported

10-14 days

Reflex Testing

An interpretation of this test by a laboratory physician will automatically be performed and billed for separately. 

Additional Information

Males: 
Presence of a full mutation with complete methylation is associated with mental retardation. Methylation mosaicism and/or premutation along with a full mutation has been shown to reduce the severity of mental retardation.  

Females: 
A premutation in a female is not associated with mental retardation. The presence of a full mutation in a female carries approximately 30% risk of mild mental retardation.  

The chance that a premutation could expand to a full mutation when passed from a female carrier to her offspring is shown in the following table:  

Premutation CGG repeats

Risk of Expansion to Full Muatation

55-59

4%

60-69

5%

70-79

31%

80-89

58%

90-99

80%

>99

approx 100%



Adult onset disease: 
Fragile X-associated tremor / ataxia syndrome (FXTAS). An FMR-1 premutation may confer an adult risk for tremor and ataxia. Not all men with an FMR-1 premutation will develop FXTAS. The risk of developing FXTAS is age dependent and ranges from 17% (age 50- 59), 38% (age 60-69), 45% (age 70- 79) and 75%(age >= 80). However, it is estimated that only 20-30% of men with an FMR-1 premutation will develop the syndrome.  

FMR-1 related premature ovarian failure (POF): Women with an FMR-1 premutation have an approximately 21% risk of developing POF as opposed to 1% in the general population.  

If a mutation is detected it is recommended that the patient seek genetic counseling.  

This test was developed and its performance characteristics determined by the Clinical Laboratories at the Medical Center at UC San Francisco. It has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Codes

81243, 81244

LDT or Modified FDA

Yes

LOINC Codes

36913-2