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Time Sensitive

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Oncology Test Request Form Recommended (ARUP form #43099)

Ordering Recommendation

Alternate test to detect prognostically important genomic abnormalities in CLL.

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation
Collect

Green (sodium heparin) tube. Also acceptable: Nondiluted bone marrow aspirate collected in a heparinized syringe.

Specimen Preparation

Transport 5 mL whole blood (Min: 2 mL). OR Transfer 3 mL bone marrow to a green (sodium heparin) tube (Min: 1 mL)

Storage/Transport Temperature

Room temperature.

Unacceptable Conditions

Frozen specimens. Paraffin-embedded specimens. Clotted specimens.

Remarks

Clinical indication or reason for testing and specimen type required with test order. Sample will still be processed if this information is not initially provided but appropriate culturing and reporting may be compromised or delayed.

Stability

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

Methodology

Fluorescence in situ Hybridization (FISH)

Performed

Sun-Sat

Reported

3-9 days

Reference Interval

Refer to report

Interpretive Data

Refer to report.

Compliance Category

Analyte Specific Reagent (ASR)

Note

Fluorescence in situ Hybridization panel is performed for CLL prognosis-specific genomic abnormalities as follows: ATM deletion, D13S319 deletion, Trisomy 12, TP53 deletion.

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

If cell pellets or dropped cytogenetic slides are submitted, processing fee will not apply.

This test must be ordered using Oncology test request form #43099 or through your ARUP interface.
If chromosome analysis is not performed at ARUP on the same sample, Bone Marrow/PBL Culture Processing Fee (0093271) will be added to account for sample processing, and additional charge will apply. If multiple FISH tests are ordered, 0093271 will only be applied to one of the FISH tests.

Hotline History

N/A

CPT Codes

88271 x4; 88275 x4

Components

Component Test Code* Component Chart Name LOINC
0092616 Chromosome FISH, CLL Panel 57802-1
2002197 EER Chromosome FISH, CLL Panel 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

  • 'Chronic Lymphocytic Leukemia FISH Panel
Chromosome FISH, CLL Panel