Ordering Recommendation

For use in the context of intrauterine fetal demise or stillbirth when further cytogenetic analysis is desired, pregnancy loss or termination in the presence of fetal anomalies, fetal chromosomal abnormalities that are seen by conventional cytogenetic methods and need further characterization, multiple fetal losses of unknown etiology, or products of conception (POC) specimens that fail to grow in culture.

Maternal cell contamination (MCC) analysis is recommended. Order Maternal Cell Contamination, Fetal Specimen (0051596) on the fetal specimen. Order Maternal Cell Contamination, Maternal Specimen (0050608) on a maternal blood specimen.

For guidance on ordering maternal cell contamination studies, please refer to Maternal Cell Contamination (MCC) Analysis Guide.  

New York DOH Approval Status

Testing is not New York state approved. Specimens from New York clients will be sent out to a New York state-approved laboratory.

Specimen Required

Patient Preparation
Collect

Fetal Specimen: Products of conception in a sterile, screw-top container (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 (eg, villi).
Maternal Specimen: Refer to Maternal Cell Contamination, Maternal Specimen (0050608) for maternal specimen requirements.

Specimen Preparation

Transport products of conception (Min: 5mg) 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

Preferred transport temp: Room temperature. Also acceptable: Refrigerated or frozen.

Unacceptable Conditions

Intact fetus. Specimens preserved in formalin. Autolyzed or contaminated specimens.

Remarks

Counseling and informed consent are recommended for genetic testing. Consent forms are linked above.
New York Clients: informed consent is required with submission.

Stability

Room temperature: 2 days; Refrigerated: 2 days; Frozen: Indefinitely

Methodology

Genomic Microarray (Oligo-SNP Array)

Performed

Sun-Sat

Reported

14-21 days

Reference Interval

Interpretive Data

Refer to report.

Compliance Category

Laboratory Developed Test (LDT)

Note

A processing fee will be charged if this procedure is canceled, at the client's request, after the test has been set up.

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

81229

Components

Component Test Code* Component Chart Name LOINC
2005634 SNP Microarray, Products of Conception 96984-0
* 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

  • genomic microarray
  • oligo-SNP array
Genomic SNP Microarray, Products of Conception