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Nx Gen Sequencing: Charcot-Marie-Tooth Disease & Sensory Neuropathies Test

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Nx Gen Sequencing: Charcot-Marie-Tooth Disease & Sensory Neuropathies Test

Short Name: CMT & Sensory Neuropathy NGS Panel

Also known as: Hereditary Motor and Sensory Neuropathy (HMSN) Test, CMT Gene Panel Test, Charcot-Marie-Tooth Disease Genetic Test, Peripheral Neuropathy NGS Panel, Hereditary Sensory Neuropathy Gene Test

Nx Gen Sequencing: Charcot-Marie-Tooth Disease & Sensory Neuropathies Test test available at DNA Labs India for ₹23,400. Uses Next-Generation Sequencing (NGS), Sanger Sequencing (confirmation) on Whole Blood samples. Results in Results are typically available within 40 working days from the date of sample receipt at the laboratory. Samples should be submitted daily by 9:00 AM for optimal processing. Reports are delivered digitally via the online portal, email, and WhatsApp.. Free home collection in 300+ cities across India.

NeurologistAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the Nx Gen Sequencing test for Charcot-Marie-Tooth Disease and Sensory Neuropathies is to provide a comprehensive molecular diagnosis by analyzing over 100 genes known to be associated with these conditions. This test identifies pathogenic and likely pathogenic genetic variants, including single nucleotide variants (SNVs), small insertions and deletions (indels), and select copy number variants across the following genes: AARS, ABHD12, AIFM1, ARHGEF10, ATL1, ATL3, ATP1A1, ATP7A, BAG3, BSCL2, CCT5, CNTNAP1, COA7, COX6A1, CTDP1, DCTN1, DCTN2, DHTKD1, DNAJB2, DNM2, DNMT1, DRP2, DST, DYNC1H1, EGR2, FAM134B, FGD4, FIG4, GAN, GARS, GDAP1, GJB1, GNB4, HARS, HINT1, HK1, HOXD1, HSPB1, HSPB3, HSPB8, IGHMBP2, INF2, JPH1, KARS, KIF1A, KIF1B, KIF5A, LITAF, LMNA, LRSAM1, MARS, MCM3AP, MED25, MFN2, MME, MORC2, MPV17, MPZ, MTMR2, NAGLU, NDRG1, NEFH, NEFL, NGF, NTRK1, PDK3, PLEKHG5, PMP22, PRDM12, PRPS1, PRX, PTRH2, RAB7A, SBF1, SBF2, SCN11A, SCO2, SCN9A, SETX, SGPL1, SH3TC2, SIGMAR1, SLC12A6, SLC25A46, SOX1, SPG11, SPTLC1, SPTLC2, SURF1, TFG, TRIM2, TRPV4, VCP, WARS, WNK1, and YARS. This information helps clinicians confirm a suspected diagnosis, differentiate between subtypes of CMT and sensory neuropathies, guide treatment and management decisions, facilitate genetic counseling for affected families, and enable carrier testing and prenatal diagnosis when indicated.

Test Code
1345
CPT Code
81448
ICD Code
G60.0
Price
₹23,400
Sample Type
Whole Blood
Result Time
Results are typically available within 40 working days from the date of sample receipt at the laboratory. Samples should be submitted daily by 9:00 AM for optimal processing. Reports are delivered digitally via the online portal, email, and WhatsApp.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Sequencing (confirmation)
Step 1

Sample Collection

Duly filled Whole Exome Sequencing Consent Form (Form 37) is mandatory. No fasting is required. Inform the healthcare provider about any recent blood transfusions or current medications. Ensure the patient is well-hydrated for easier venipuncture.

Method: Venipuncture

Step 2

Laboratory Analysis

A trained phlebotomist will collect 10 mL (minimum 5 mL) of whole blood via venipuncture into 2 Lavender Top (EDTA) tubes. The process typically takes 5-10 minutes. Mild discomfort or a slight pinching sensation may be felt during needle insertion.

Step 3

Report Delivery

Apply gentle pressure with cotton wool or gauze at the puncture site for 3-5 minutes. The collected sample is shipped refrigerated and must not be frozen. Sample stability: Room Temperature – 6 hours; Refrigerator (2-8°C) – 72 hours; Frozen – Not applicable. A small bruise may appear at the collection site and typically resolves within a few days.

Timeline: Results are typically available within 40 working days from the date of sample receipt at the laboratory. Samples should be submitted daily by 9:00 AM for optimal processing. Reports are delivered digitally via the online portal, email, and WhatsApp.

Patient Instructions

1
Before the Test:No special preparation such as fasting is required. The mandatory Whole Exome Sequencing Consent Form (Form 37) must be duly completed and signed before sample collection. Inform the healthcare provider about any recent blood transfusions, current medications, or relevant medical history. Stay well-hydrated prior to blood collection.
2
During the Test:A trained phlebotomist will perform a standard venipuncture to collect approximately 10 mL of whole blood into 2 Lavender Top (EDTA) tubes. The procedure typically takes 5-10 minutes and involves minimal discomfort, similar to a routine blood draw. The sample is then processed and shipped refrigerated to the laboratory for genetic analysis.
3
After the Test:After blood collection, gentle pressure is applied to the puncture site for 3-5 minutes. A small bruise may appear and typically resolves within a few days. The sample is analyzed using next-generation sequencing and Sanger sequencing confirmation in the laboratory. Results are available within 40 working days and delivered via online portal, email, and WhatsApp. Genetic counseling support is available upon request to help interpret the results.

About This Test

Who Should Get This Test

The purpose of the Nx Gen Sequencing test for Charcot-Marie-Tooth Disease and Sensory Neuropathies is to provide a comprehensive molecular diagnosis by analyzing over 100 genes known to be associated with these conditions. This test identifies pathogenic and likely pathogenic genetic variants, including single nucleotide variants (SNVs), small insertions and deletions (indels), and select copy number variants across the following genes: AARS, ABHD12, AIFM1, ARHGEF10, ATL1, ATL3, ATP1A1, ATP7A, BAG3, BSCL2, CCT5, CNTNAP1, COA7, COX6A1, CTDP1, DCTN1, DCTN2, DHTKD1, DNAJB2, DNM2, DNMT1, DRP2, DST, DYNC1H1, EGR2, FAM134B, FGD4, FIG4, GAN, GARS, GDAP1, GJB1, GNB4, HARS, HINT1, HK1, HOXD1, HSPB1, HSPB3, HSPB8, IGHMBP2, INF2, JPH1, KARS, KIF1A, KIF1B, KIF5A, LITAF, LMNA, LRSAM1, MARS, MCM3AP, MED25, MFN2, MME, MORC2, MPV17, MPZ, MTMR2, NAGLU, NDRG1, NEFH, NEFL, NGF, NTRK1, PDK3, PLEKHG5, PMP22, PRDM12, PRPS1, PRX, PTRH2, RAB7A, SBF1, SBF2, SCN11A, SCO2, SCN9A, SETX, SGPL1, SH3TC2, SIGMAR1, SLC12A6, SLC25A46, SOX1, SPG11, SPTLC1, SPTLC2, SURF1, TFG, TRIM2, TRPV4, VCP, WARS, WNK1, and YARS.

This information helps clinicians confirm a suspected diagnosis, differentiate between subtypes of CMT and sensory neuropathies, guide treatment and management decisions, facilitate genetic counseling for affected families, and enable carrier testing and prenatal diagnosis when indicated.

How to Prepare

  • Collect 10 mL (5 mL minimum) whole blood from 2 Lavender Top (EDTA) tubes
  • Ship the sample refrigerated. DO NOT FREEZE
  • Duly filled Whole Exome Sequencing Consent Form (Form 37) is mandatory with every sample
  • Label all tubes clearly with patient name, date of birth, date and time of collection
  • Submit sample daily before 9:00 AM for optimal processing
  • Ensure tubes are gently mixed 8-10 times after collection to prevent clotting

Doctor's Notes

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

"Charcot-Marie-Tooth disease is one of the most common inherited neuropathies and is frequently misdiagnosed or undiagnosed due to clinical overlap with other neuropathies. Next-generation sequencing allows us to identify the precise genetic cause across more than 100 implicated genes in a single test, enabling accurate diagnosis, prognostication, targeted genetic counseling, and informed family planning decisions. I recommend this test for any patient presenting with progressive distal weakness, foot deformities, or unexplained sensory neuropathy, especially when there is a family history suggestive of hereditary neuropathy."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole Blood
Sample Volume10 mL (5 mL minimum)
Container2 Lavender Top (EDTA) tubes
Collection MethodVenipuncture

Sample Stability

Room Temperature (15-25°C)Up to 6 hours
Refrigerated (2-8°C)Up to 72 hours
Frozen (-20°C or below)Not Applicable (DO NOT FREEZE)
Sample Rejection Criteria:
  • Frozen samples
  • Sample volume below minimum requirement (less than 5 mL)
  • Missing or incomplete Whole Exome Sequencing Consent Form (Form 37)
  • Samples collected in incorrect tube type (non-EDTA)
  • Severely hemolyzed, clotted, or contaminated samples
  • Samples received beyond the allowable stability window
  • Unlabeled or mismatched sample labels

Understanding Your Results

The Nx Gen Sequencing report provides a detailed molecular analysis of over 100 genes associated with Charcot-Marie-Tooth disease and sensory neuropathies. Variants identified are classified according to the American College of Medical Genetics and Genomics (ACMG/AMP) guidelines into five categories: Pathogenic, Likely Pathogenic, Variant of Uncertain Significance (VUS), Likely Benign, and Benign. The clinical significance of each variant, its zygosity, associated condition, and relevant literature references are included in the report. Genetic counseling is strongly recommended to help patients and families understand the implications of the results.
📊

Pathogenic or Likely Pathogenic Variant Detected

A genetic variant classified as pathogenic or likely pathogenic has been identified, confirming a molecular diagnosis of CMT or sensory neuropathy. The specific gene and variant, its inheritance pattern, and the associated clinical phenotype are detailed. This information guides prognosis, management, and genetic counseling for family members. Cascade testing of at-risk relatives is recommended.

📊

Variant of Uncertain Significance (VUS) Detected

A variant of uncertain significance has been identified. This means there is currently insufficient evidence to determine whether the variant is disease-causing or benign. Clinical correlation, family segregation studies, and periodic re-evaluation as new scientific data become available are recommended. The variant should not be used alone for clinical decision-making.

📊

No Pathogenic Variant Detected

No pathogenic or likely pathogenic variants were identified in the genes analyzed. This does not completely exclude a genetic basis for the condition, as mutations in genes not covered by this panel, regulatory region variants, or other types of genomic alterations may still be responsible. Clinical correlation and further evaluation, including whole exome or whole genome sequencing, may be considered.

📊

Benign or Likely Benign Variant Detected

The identified variant(s) are classified as benign or likely benign, meaning they are not considered disease-causing. These are common population variants and do not explain the patient's clinical presentation. Further clinical evaluation may be warranted if symptoms persist.

⚠️ When to Consult a Doctor:

Consult your neurologist or geneticist if you or a family member experience progressive muscle weakness in the feet or hands, frequent tripping or difficulty walking, foot deformities such as high arches or hammer toes, unexplained numbness, tingling, or burning pain in the extremities, loss of sensation, or if there is a known family history of Charcot-Marie-Tooth disease or hereditary neuropathy. Early genetic diagnosis can guide appropriate management, rehabilitation strategies, and family planning decisions.

Limitations

  • This test may not detect large genomic rearrangements, deep intronic variants, or repeat expansions in all genes
  • Variants of uncertain significance (VUS) may be identified and require further clinical correlation
  • The test does not cover all possible genetic causes of peripheral neuropathy; negative results do not fully exclude a genetic etiology
  • Mosaicism at low levels may not be reliably detected
  • Regulatory and promoter region variants outside the coding regions may not be captured

Risks & Considerations

  • Minor bruising or hematoma at the venipuncture site
  • Mild pain or discomfort during blood draw
  • Rare risk of infection at the needle puncture site
  • Fainting or lightheadedness during or after blood collection (vasovagal reaction)
  • Emotional or psychological impact of genetic test results, particularly if pathogenic variants are identified

Interfering Factors

  • Degraded or insufficient DNA quality due to improper sample storage or transport
  • Contamination of the blood sample during collection or handling
  • Recent blood transfusion may affect DNA analysis results
  • Hemolyzed samples may reduce DNA yield and quality
  • Missing or incomplete Whole Exome Sequencing Consent Form (Form 37) will result in sample rejection

Compare With Similar Tests

TestNx Gen Sequencing: Charcot-Marie-Tooth Disease & Sensory Neuropathies TestNx Gen Sequencing (CMT & Sensory Neuropathy Panel)Single-Gene Sanger SequencingWhole Exome Sequencing (WES)
ComparisonNx Gen Sequencing: Charcot-Marie-Tooth Disease & Sensory Neuropathies Test

Frequently Asked Questions

What is Charcot-Marie-Tooth (CMT) disease?
Charcot-Marie-Tooth (CMT) disease is a hereditary motor and sensory neuropathy that affects the peripheral nerves connecting the brain and spinal cord to muscles and sensory organs. It is characterized by progressive muscle weakness and atrophy, typically beginning in the feet and legs and later affecting the hands. CMT is one of the most common inherited neurological disorders, affecting approximately 1 in 2,500 individuals. It can be caused by mutations in more than 100 different genes.
What is the Nx Gen Sequencing test for CMT and Sensory Neuropathies?
The Nx Gen Sequencing test is a comprehensive next-generation sequencing (NGS)-based genetic test that analyzes a panel of over 100 genes associated with Charcot-Marie-Tooth disease and various sensory neuropathies. It identifies genetic mutations including single nucleotide variants, small insertions and deletions, and copy number variants that may be causing the condition. The test is supplemented by Sanger sequencing for variant confirmation.
Who should consider getting this genetic test?
This test is recommended for individuals who present with symptoms of CMT or sensory neuropathy, including progressive distal muscle weakness, foot drop, high-arched feet, numbness, tingling, or burning pain in the extremities. It is also recommended for individuals with a family history of hereditary neuropathy, suspected Dejerine-Sottas syndrome, or unexplained peripheral neuropathy, particularly when onset occurs in the first to third decade of life.
What sample is required for this test?
The test requires a 10 mL whole blood sample (minimum 5 mL) collected in 2 Lavender Top (EDTA) tubes via standard venipuncture. The sample must be shipped refrigerated and must not be frozen. A duly filled Whole Exome Sequencing Consent Form (Form 37) is mandatory with every sample submission.
How long does it take to get the test results?
Results are typically available within 40 working days from the date of sample receipt at the laboratory. Samples should be submitted daily by 9:00 AM for optimal processing. Reports are delivered via the online portal, email, and WhatsApp for patient convenience.
Is fasting required before the blood sample collection?
No, fasting is not required for this test. However, the mandatory Whole Exome Sequencing Consent Form (Form 37) must be duly completed and signed before sample collection. Patients are advised to stay well-hydrated prior to the blood draw.
What do the test results mean?
The results classify identified genetic variants into five categories according to ACMG/AMP guidelines: Pathogenic, Likely Pathogenic, Variant of Uncertain Significance (VUS), Likely Benign, and Benign. Detection of a pathogenic or likely pathogenic variant confirms the molecular diagnosis. A VUS requires further clinical correlation and may be reclassified over time. If no pathogenic variant is found, it does not completely exclude a genetic etiology, and further testing such as whole exome sequencing may be considered.
Is genetic counseling recommended with this test?
Yes, genetic counseling is strongly recommended both before and after the test. Pre-test counseling helps you understand the implications of genetic testing, potential outcomes, and the possibility of incidental findings. Post-test counseling helps interpret the results, discuss inheritance patterns, recurrence risks for family members, and options for cascade testing, family planning, and prenatal diagnosis.
Can this test detect all types of Charcot-Marie-Tooth disease?
This test analyzes over 100 genes known to be associated with CMT and sensory neuropathies, covering the vast majority of genetically characterized CMT subtypes including CMT1, CMT2, CMT4, CMTX, and various forms of hereditary sensory neuropathy (HSAN). However, it may not detect mutations in genes outside the panel, large genomic rearrangements beyond the detection limit, deep intronic variants, or trinucleotide repeat expansions.
Is home sample collection available for this test?
Yes, DNA Labs India offers free home sample collection for online bookings of this test. Home collection is available across India in major cities including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, Ahmedabad, and many more. A trained phlebotomist will visit your location to collect the blood sample as per the specified requirements.
What is the cost of the Nx Gen Sequencing test for CMT and Sensory Neuropathies?
The cost of the Nx Gen Sequencing test for Charcot-Marie-Tooth Disease and Sensory Neuropathies is Rs 23400.0 (INR). This includes sample collection (free home collection for online bookings), comprehensive NGS analysis, Sanger sequencing confirmation, variant classification, and digital report delivery. The cost may vary if additional testing or services are required.
How accurate is the Nx Gen Sequencing genetic test?
Next-generation sequencing technology used in this test provides high analytical sensitivity and specificity for detecting single nucleotide variants and small insertions/deletions in the targeted genes. Identified pathogenic and likely pathogenic variants are confirmed using Sanger sequencing, which is considered the gold standard for variant verification. However, the diagnostic yield depends on the specific genetic etiology of the condition, and a negative result does not completely exclude a genetic cause. Results should always be interpreted by a qualified healthcare professional in the context of clinical findings.
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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