Oncology Test Request Form Recommended (ARUP form #43099)
Ordering RecommendationRecommendations when to order or not order the test. May include related or preferred tests.
Use for diagnosis, prognosis, and monitoring of hematopoietic neoplasms. Microarray performed when karyotype results are normal or no growth. For testing to evaluate for a constitutional/congenital finding, order Chromosome Analysis, Constitutional Blood with Reflex to Genomic Microarray (2005763).
MnemonicUnique test identifier.
LKB REFLEX
MethodologyProcess(es) used to perform the test.
Giemsa Band/Genomic Microarray (Oligo-SNP array)
PerformedDays of the week the test is performed.
Sun-Sat
ReportedExpected turnaround time for a result, beginning when ARUP has received the specimen.
3-10 days If reflexed: 7-12 additional days required for microarray.
New York DOH Approval StatusIndicates test has been approved by the New York State Department of Health.
Specimens from New York clients will be sent out to a New York DOH approved laboratory, if possible.
Specimen Required
Patient Preparation
Collect
Green (Sodium Heparin).
Specimen Preparation
Do not freeze or expose to extreme temperatures. Transfer 5mL whole blood to a Green (Sodium Heparin). (Min: 1 mL)
Reference IntervalNormal range/expected value(s) for a specific disease state. May also include abnormal ranges.
By report
Interpretive DataBackground information for test. May include disease information, patient result explanation, recommendations, details of testing, associated diseases, explanation of possible patient results.
Refer to report
Compliance Category
Laboratory Developed Test (LDT)
NoteAdditional information related to the test.
These studies involve culturing of living cells; therefore, turnaround times given represent average times and 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.
If Chromosome Analysis is "normal" or "no growth," then Genomic Microarray testing will be added. Additional charges apply.
CPT CodesThe American Medical Association Current Procedural Terminology (CPT) codes published in ARUP's Laboratory Test Directory are provided for informational purposes only. The codes reflect our interpretation of CPT coding requirements based upon AMA guidelines published annually. CPT codes are provided only as guidance to assist clients with billing. ARUP strongly recommends that clients confirm CPT codes with their Medicare administrative contractor, as requirements may differ. CPT coding is the sole responsibility of the billing party. ARUP Laboratories assumes no responsibility for billing errors due to reliance on the CPT codes published.
* 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.
AliasesOther names that describe the test. Synonyms.
Cytogenomic SNP Microarray - Oncology
genomic microarray
leukemic blood chromosome
Leukemic blood karyotype
SNP array
Chromosome Analysis, Leukemic Blood with Reflex to Genomic Microarray
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