The ATM c.8315del (p.Gly2772GlufsTer34) variant has been reported in ClinVar with pathogenic and likely pathogenic clinical submissions.1 This variant is absent from gnomAD v4.1 and gnomAD v2.1, supporting rarity in the general population.2 ATM-specific criteria support pathogenic evidence for this truncating variant because p.(Gly2772GlufsTer34) introduces a premature termination codon upstream of the p.Arg3047 threshold used for ATM truncating variants, and ATM loss of function is an established disease mechanism.3 SpliceAI predicts no significant splice impact for this variant, with a maximum delta score of 0.14.4