Chromosome Analysis, Leukemic Blood with Reflex to Genomic Microarray

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Oncology Test Request Form Recommended (ARUP form #43099)

Ordering Recommendation

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).

Mnemonic

LKB REFLEX

Methodology

Giemsa Band/Genomic Microarray (Oligo-SNP array)

Performed

Sun-Sat

Reported

3-10 days
If reflexed: 7-12 additional days required for microarray.

New York DOH Approval Status

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)

Storage/Transport Temperature

Room temperature

Unacceptable Conditions

Clotted specimens

Remarks
Stability

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

Reference Interval

By report

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.

Compliance Category

Laboratory Developed Test (LDT)

Note

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.

Hotline History

View Hotline History

 

Hotline History

Date of Change
Test Name Change
Methodology
Performance/Reported Schedule
Specimen Requirements
Reference Interval
Interpretive Data
Note
CPT Code
Component Change
Other Interface Change
New Test
Inactive
05/11/2021
X
N/A

CPT Codes

88237; 88264; if reflexed, add 81277

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Components

Component Test Code* Component Chart Name LOINC
0097635 Chromosome Analysis, Leukemic Blood 62357-9
2009356 EER Chrom Analysis LKB w/Rflx to Array
* 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

  • Cytogenomic SNP Microarray - Oncology
  • genomic microarray
  • leukemic blood chromosome
  • Leukemic blood karyotype
  • SNP array
Chromosome Analysis, Leukemic Blood with Reflex to Genomic Microarray