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Time Sensitive

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Cytogenetic Test Request Form Recommended (ARUP form #43098)

Ordering Recommendation

Order for standard chromosome analysis performed on cultured fetal or placental cells.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

Thaw media prior to tissue inoculation. Products of conception in a sterile, screw-top container (Wide mouth containers: ARUP supply #42710) filled with tissue culture transport medium (ARUP Supply # 32788). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. If cytogenetics tissue media is not available, collect in plain RPMI, Hanks solution, sterile saline, or ringers.
If autopsy is performed: Facia lata, diaphragm, tendon, skin, tissue from internal organs (if fresh), chest wall cartilage (particularly if macerated) or placenta from fetal side.
If no autopsy is performed: Placenta from fetal side is preferred (e.g. villi).
Also acceptable: Umbilical cord or achilles tendon.

Specimen Preparation

DO NOT FREEZE. Do not place in formalin. Transport products of conception (Min: 5 mg) in sterile, screw-top container filled with tissue transport medium. If specimen size is too large for a normal collection tube, a larger sterile container can be used such as a sterile urine cup and can be flooded with several tubes of cytogenetic tissue media.

Storage/Transport Temperature

Room temperature (fresh tissue or culture flask). Also acceptable: Refrigerated.

Unacceptable Conditions

Frozen specimens. Intact fetus. Specimens preserved in formalin. Specimens consisting of maternal tissue (decidua) only. Autolyzed or contaminated specimens.

Remarks

If specimen collection time is greater than 72 hours, testing may be compromised. The laboratory will make every attempt to culture the specimen. Send specimen to lab for testing.

Stability

Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable

Methodology

Giemsa Band

Performed

Sun-Sat

Reported

14-28 days

Reference Interval

Interpretive Data

Refer to report.

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

Counseling and informed consent are recommended for genetic testing. Consent forms are available online.

Compliance Category

Laboratory Developed Test (LDT)

Note

These studies involve culturing of living cells; therefore, turnaround times given represent average times, which are subject to multiple variables.

A processing fee will be charged if this procedure is canceled at the client's request after the test has been set up or if the specimen integrity is inadequate to allow culture growth.

This test must be ordered using Cytogenetic test request form #43098 or through your ARUP interface. Please submit the Patient History for Prenatal Cytogenetics form with the electronic packing list (https://ltd.aruplab.com/Tests/Pdf/65).

Hotline History

N/A

CPT Codes

88262; 88233

Components

Component Test Code* Component Chart Name LOINC
0097645 Chromosome Analysis, Prod Concp 48819-7
2002206 EER Chromosome Analysis, Prod Concp 11526-1
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.

Aliases

  • Autopsy (ONLY if Chromosomes are indicated)
  • Chromosome Analysis, Stillbirth or Miscarriage
  • intrauterine fetal demise
  • IUFD
  • Karyotype
  • Karyotype, Stillbirth or Miscarriage
  • Miscarriage
  • missed abortion
  • Pregnancy loss
  • SAB
  • Spontaneous abortion
  • Stillbirth
Chromosome Analysis, Products of Conception