Are these tests covered by Medicare?
Fragile X DNA testing is funded by Medicare under the following conditions:
- Medicare item 73300 in the following circumstances: detection of genetic mutation of the FMR1 gene by nucleic acid amplification (NAA) where:
- (a) The patient exhibits intellectual disabilities, ataxia, neurodegeneration, or premature ovarian failure consistent with a FMR1 mutation; or
- (b) The patient has a relative with the FMR1 mutation.
- Medicare item 73305: Detection of genetic mutation of the FMR1 gene southern blot where the results in item 73300 are inconclusive.
This information was current as at October 2012. Please check with Medicare if you have any concerns.