NM_005933.3:c.5031G>A is a synonymous variant (p.Glu1677=) in KMT2A with no predicted effect on splicing (SpliceAI max delta score 0.00).1 This variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada in all populations.2 This variant has been classified as Likely benign by a reputable clinical diagnostic laboratory (Labcorp Genetics/Invitae) in ClinVar (variation ID 1925883), though the underlying evidence is not publicly available for independent review.3 Two supporting benign criteria are met: BP6 (reputable source classifies as benign) and BP7 (synonymous variant with no predicted splicing impact). No pathogenic criteria are met.4 Based on the ACMG/AMP 2015 classification framework, a Likely benign classification is appropriate (2 supporting benign criteria, 0 pathogenic criteria).5