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COCH Gene Deafness, autosomal dominant type 9 NGS Genetic Test

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COCH Gene Deafness, autosomal dominant type 9 NGS Genetic Test

Short Name: COCH Gene DFNA9 NGS Test

Also known as: DFNA9 Genetic Test, COCH Gene Mutation Analysis, Autosomal Dominant Deafness Type 9 Test, Cochlin Gene Sequencing Test, COCH NGS Panel Test

COCH Gene Deafness, autosomal dominant type 9 NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Confirmation (if required), Bioinformatics Analysis on Blood or Extracted DNA or One Drop Blood on FTA Card samples. Results in Results are typically available within 3 to 4 weeks from sample receipt at the laboratory.. Free home collection in 300+ cities across India.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The COCH Gene Deafness DFNA9 NGS Genetic Test is performed to identify pathogenic mutations in the COCH gene that cause autosomal dominant sensorineural hearing loss type 9. This test aids in confirming a clinical diagnosis of DFNA9, differentiating it from other genetic and non-genetic causes of hearing loss, determining carrier status, enabling accurate genetic counseling for affected families, assessing recurrence risk in offspring, and guiding clinical management including audiological rehabilitation and vestibular monitoring.

Test Code
2325
ICD Code
H90.3
Price
₹20,000
Sample Type
Blood or Extracted DNA or One Drop Blood on FTA Card
Result Time
Results are typically available within 3 to 4 weeks from sample receipt at the laboratory.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Confirmation (if required), Bioinformatics Analysis
Step 1

Sample Collection

No special preparation such as fasting is required. Inform the healthcare provider about any recent blood transfusions, current medications, and provide detailed clinical and family history. A pre-test genetic counseling session is recommended to draw a pedigree chart of family members affected with hearing loss.

Method: Venipuncture

Step 2

Laboratory Analysis

A trained phlebotomist will collect 3–5 mL of venous blood into an EDTA vacutainer, or alternatively collect one drop of blood on an FTA card. The procedure typically takes 5–10 minutes and involves minimal discomfort.

Step 3

Report Delivery

Apply pressure to the puncture site with sterile gauze for 3–5 minutes. Mild bruising may occur and typically resolves within a few days. The sample is transported under controlled ambient temperature conditions to the laboratory for DNA extraction and sequencing.

Timeline: Results are typically available within 3 to 4 weeks from sample receipt at the laboratory.

Patient Instructions

1
Before the Test:No fasting is required. Attend a pre-test genetic counseling session to discuss the implications of testing, provide detailed clinical history, and prepare a family pedigree chart showing affected members. Bring any previous audiogram reports and medical records related to hearing loss evaluation.
2
During the Test:The test involves a standard blood draw (3–5 mL into an EDTA tube) or a finger-prick blood collection on an FTA card. The blood collection procedure takes approximately 5–10 minutes and is performed by a trained phlebotomist. There are no dietary or activity restrictions during sample collection.
3
After the Test:After blood collection, apply gentle pressure to the puncture site. The sample is processed in the laboratory where DNA is extracted and analyzed using next-generation sequencing. Results are typically available within 3 to 4 weeks and are delivered via online portal, email, or WhatsApp. A post-test genetic counseling session is recommended to review findings.

About This Test

Who Should Get This Test

The COCH Gene Deafness DFNA9 NGS Genetic Test is performed to identify pathogenic mutations in the COCH gene that cause autosomal dominant sensorineural hearing loss type 9. This test aids in confirming a clinical diagnosis of DFNA9, differentiating it from other genetic and non-genetic causes of hearing loss, determining carrier status, enabling accurate genetic counseling for affected families, assessing recurrence risk in offspring, and guiding clinical management including audiological rehabilitation and vestibular monitoring.

How to Prepare

  • Ensure patient identity is verified and labeled on the sample tube and requisition form.
  • Collect 3–5 mL whole blood in an EDTA (lavender top) vacutainer or one drop on an FTA card.
  • Gently invert the tube 8–10 times immediately after collection to mix with anticoagulant.
  • Do not freeze the blood sample. Store and transport at ambient room temperature (15–30°C).
  • Include completed test requisition form with clinical history and family pedigree information.

Doctor's Notes

Reviewed by — MBBS, MD (Medical Genetics) · Reg. No. 8532

"DFNA9 is a significant cause of adult-onset progressive sensorineural hearing loss. Patients presenting with bilateral asymmetric high-frequency hearing loss and a family history consistent with autosomal dominant inheritance should be evaluated with COCH gene testing. Early genetic confirmation allows for timely audiological rehabilitation, vestibular monitoring, and informed family counseling. Advancements in NGS technology have made comprehensive gene analysis more accessible, enabling precise molecular diagnosis that guides long-term clinical management and future therapeutic planning."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One Drop Blood on FTA Card
Sample Volume3–5 mL whole blood
ContainerEDTA (Lavender Top) Vacutainer or FTA Card
Collection MethodVenipuncture

Sample Stability

Whole blood in EDTA: stable up to 72 hours at ambient room temperature (15–30°C)
Extracted DNA: stable up to 6 months at 2–8°C
FTA Card with blood spot: stable at room temperature for extended periods when stored in a sealed bag
Sample Rejection Criteria:
  • Clotted or hemolyzed blood samples
  • Samples without proper labeling or identification
  • Samples received after 72 hours of collection without prior arrangement
  • Insufficient sample volume (less than 2 mL)
  • Samples without completed requisition form or clinical information

Understanding Your Results

The results of the COCH Gene Deafness DFNA9 NGS Genetic Test provide a molecular diagnosis for autosomal dominant sensorineural hearing loss type 9. Results are interpreted in conjunction with the patient's clinical presentation, audiometric findings, and family history. A positive result confirms the presence of a pathogenic or likely pathogenic variant in the COCH gene, while a negative result indicates no known pathogenic variants were identified in the regions analyzed.
📊

Pathogenic Variant Detected (Positive)

A known pathogenic mutation in the COCH gene has been identified. This confirms the molecular diagnosis of DFNA9 in the context of compatible clinical findings. The patient is expected to experience progressive sensorineural hearing loss and may develop vestibular symptoms. Genetic counseling for family members and offspring is recommended.

📊

Likely Pathogenic Variant Detected

A variant likely to be disease-causing has been identified in the COCH gene. Clinical correlation with audiometric data and family history is advised. Additional family studies may help confirm pathogenicity.

📊

Variant of Uncertain Significance (VUS)

A genetic variant was detected whose clinical significance is currently unknown. This result is not diagnostic. Further evaluation including family segregation analysis, functional studies, or re-analysis at a later date when additional data becomes available may be warranted.

📊

Likely Benign Variant Detected

A variant was detected that is unlikely to be the cause of the patient's hearing loss. Clinical correlation is advised and no specific follow-up for this variant is typically necessary.

📊

No Pathogenic Variant Detected (Negative)

No pathogenic or likely pathogenic variants were identified in the COCH gene. This result does not exclude all genetic causes of hearing loss. Clinical evaluation for other genetic or non-genetic etiologies is recommended. A comprehensive hearing loss gene panel may be considered.

⚠️ When to Consult a Doctor:

Consult an ENT specialist or clinical geneticist if you experience progressive hearing difficulty especially in high-frequency ranges, have a family history of hereditary hearing loss, develop new or worsening tinnitus, experience episodes of vertigo or balance problems, or if a genetic test result returns as positive or a variant of uncertain significance requiring further evaluation.

Limitations

  • This test targets the COCH gene only and does not screen for mutations in other hearing-loss-associated genes such as GJB2 or SLC26A4.
  • Deep intronic mutations and large genomic rearrangements may not be reliably detected by standard NGS protocols.
  • Detection of a variant of uncertain significance (VUS) may require additional family studies or functional analysis for definitive classification.
  • A negative result does not exclude all genetic causes of hearing loss.
  • This test is not validated for prenatal diagnosis.

Risks & Considerations

  • Minor bruising or discomfort at the blood draw site, which usually resolves within a few days
  • Small risk of infection at the puncture site (extremely rare with standard phlebotomy procedures)
  • Possible emotional or psychological impact upon receiving genetic test results, particularly a positive diagnosis
  • Risk of receiving a variant of uncertain significance (VUS) that may cause anxiety without providing a definitive answer

Interfering Factors

  • Degraded or insufficient DNA quality from the sample
  • Recent blood transfusion within the past 30 days may affect results
  • Contamination during sample collection or transport
  • Hemolyzed or clotted blood samples may reduce DNA yield

Compare With Similar Tests

TestCOCH Gene Deafness, autosomal dominant type 9 NGS Genetic TestGJB2 (Connexin 26) Gene TestSLC26A4 (Pendrin) Gene TestComprehensive Hearing Loss Gene PanelTMC1 Gene Deafness NGS Test
ComparisonCOCH Gene Deafness, autosomal dominant type 9 NGS Genetic Test

Frequently Asked Questions

What is COCH Gene Deafness (DFNA9)?
DFNA9 is a form of autosomal dominant sensorineural hearing loss caused by mutations in the COCH gene. This gene provides instructions for making cochlin, a protein essential for the structural integrity of the inner ear. Mutations lead to progressive hearing loss typically beginning in early adulthood, often accompanied by tinnitus and vestibular symptoms such as vertigo.
How is DFNA9 inherited?
DFNA9 follows an autosomal dominant inheritance pattern. This means that a single copy of the mutated COCH gene from one affected parent is sufficient to cause the condition. Each child of an affected parent has a 50 percent chance of inheriting the mutation and potentially developing hearing loss.
What are the symptoms of COCH gene deafness?
The primary symptoms include gradually progressive sensorineural hearing loss that initially affects high-frequency sounds such as female voices, children's voices, birds chirping, and phone ringing. Many patients also experience tinnitus (ringing, buzzing, or hissing in the ears) and vestibular symptoms including vertigo, dizziness, and imbalance.
At what age does DFNA9 hearing loss typically begin?
Hearing loss in DFNA9 usually begins in the second to fourth decade of life (ages 20–40). The onset is gradual, and the hearing loss progressively worsens over years to decades, eventually affecting all frequency ranges. Vestibular symptoms may precede, accompany, or follow the onset of hearing loss.
How is the COCH Gene NGS Genetic Test performed?
The test uses next-generation sequencing (NGS) technology to analyze the entire coding region of the COCH gene. DNA is extracted from a blood sample or FTA card, and advanced sequencing platforms identify any mutations. Detected variants are classified according to ACMG guidelines as pathogenic, likely pathogenic, VUS, likely benign, or benign.
What sample is required for the COCH gene test?
The test can be performed using 3–5 mL of whole blood collected in an EDTA (lavender top) vacutainer, extracted DNA, or one drop of blood on an FTA card. No fasting is required prior to sample collection.
How long does it take to get the COCH gene test results?
Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. Results are delivered through the online portal, email, or WhatsApp for patient convenience.
Is the COCH gene test covered by insurance in India?
Genetic testing for DFNA9 is not typically covered under standard health insurance plans in India. Government schemes such as PMJAY, CGHS, ECHS, and ESIC may have limited or no coverage for specialized genetic tests. It is advisable to check with your insurance provider or scheme administrator for specific coverage details.
Can DFNA9 be treated or cured?
There is currently no cure for DFNA9. Management focuses on audiological rehabilitation, including the use of hearing aids and, in advanced cases, cochlear implants. Vestibular symptoms may be managed with physiotherapy and medication. Regular audiological monitoring and genetic counseling are recommended for affected individuals and at-risk family members.
Who should consider getting the COCH gene test?
The test is recommended for individuals with progressive sensorineural hearing loss beginning in adulthood, those with a family history of autosomal dominant hearing loss, patients with hearing loss accompanied by tinnitus or vestibular dysfunction, and individuals seeking genetic counseling for family planning purposes. A referral from an ENT specialist or clinical geneticist is typically advised.
Does DNA Labs India offer free home sample collection for this test?
Yes, DNA Labs India offers free home sample collection for the COCH Gene Deafness DFNA9 NGS Genetic Test when booked online. This service is available across a wide range of cities in India including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, and many more. Book online or contact us to schedule your home visit.
What is the cost of the COCH Gene Deafness NGS Genetic Test in India?
The COCH Gene Deafness DFNA9 NGS Genetic Test costs INR 20,000 across India at DNA Labs India. This price includes sample collection, NGS sequencing, genetic analysis, report generation, and genetic counseling. A special discounted price of Rs 20,000 is available for online bookings with free home sample collection.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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