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SAMPLE LETTER OF MEDICAL NECESSITY FOR ShwachmanDiamond syndrome GENETIC TESTING (SBS GENE SEQUENCE ANALYSIS)Date:Date of service/claimed:Utilization Review DepartmentInsurance Company Name, Address,
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Shwachman-Diamond syndrome genetic testing involves analyzing a person's DNA to identify mutations in the SBDS gene.
Individuals suspected of having Shwachman-Diamond syndrome or a family history of the condition may be required to undergo genetic testing.
Shwachman-Diamond syndrome genetic testing involves a simple blood or saliva test administered by a healthcare provider.
The purpose of Shwachman-Diamond syndrome genetic testing is to confirm a diagnosis, guide treatment decisions, and assess the risk of passing the condition to future generations.
The genetic testing report should include details on any mutations identified in the SBDS gene, as well as recommendations for further evaluation and management.
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