Russell Silver Syndrome (RSS)

Forms

*Please open the forms in Adobe Acrobat before printing.


Billing Information and Turnaround Time

Name of Test Turnaround Time Cost CPT Codes
Russell-Silver syndrome: methylation and copy number analysis 3-4 weeks $800 81401x2, 81402, 81403
Russell-Silver syndrome: UPD7 3 weeks $630 81402
Russell-Silver syndrome: prenatal diagnosis for methylation/copy number analysis only 1-3 weeks $900* 81401x2, 81265
Russell-Silver syndrome: prenatal diagnosis for UPD7 1-3 weeks $730* 81402, 81265
Russell-Silver syndrome: prenatal diagnosis for methylation/copy number analysis with UPD7 1-3 weeks $1,530* 81401x2, 81402x2, 81403, 81265
Russell-Silver syndrome: prenatal diagnosis for known familial methylation defect 1-3 weeks $700* 81401x2, 81402, 81265
Russell-Silver syndrome: known familial methylation defect 2-3 weeks $600 81401x2, 81402
*All prenatal tests include MCC studies

Sample Requirements

  • We require 2 EDTA tubes (lavender top) of blood - approximately 4 mL per tube
  • For a newborn sample, obtain 2 EDTA tube (lavender top) of blood - approximately 1-2 mL per tube
  • Label each tube with the patient’s name, date sample was obtained, and patient’s date of birth
  • We accept banked or recently extracted DNA; please include the concentration. Please call the laboratory to inquire about the amount needed for testing.

Please see our prenatal section for information on prenatal requirements.**

**Please note that only amniocytes are accepted for prenatal Beckwith-Wiedemann testing.

Shipping Instructions

Shipping Sample: Ship at room temperature via Federal Express or other overnight courier that guarantees AM delivery to arrive Monday-Friday. There is no one in the laboratory evenings and weekends to receive samples. If sample is drawn on a Friday, please refrigerate it until shipment on the following business day.

Shipping Address:
Genetic Diagnostic Laboratory
University of Pennsylvania
415 Anatomy–Chemistry Building
3620 Hamilton Walk
Philadelphia, PA 19104

Additional Information

OMIM

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