Ordering Recommendation

Use to confirm the causal variant(s) in a fetus with clinical features of a skeletal dysplasia. Predictive testing in a fetus known to be at risk for a skeletal dysplasia based on family history.

Maternal cell contamination (MCC) analysis is required and performed at no additional charge. 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: Cultured amniocytes OR cultured chorionic villi.

Maternal Specimen: Refer to Maternal Cell Contamination, Maternal Specimen (0050608) for maternal specimen requirements.

Specimen Preparation

Cultured Amniocytes or Cultured CVS: Fill flasks with culture media. Transport two T-25 flasks of 90 percent confluent cultured amniocytes or two T-25 flasks of 90% cultured chorionic villi sampling (CVS).

This assay is not performed on direct amniotic fluid or direct chorionic villi specimens. Clients submitting direct amniotic fluid and direct chorionic villi must add Cell Culture for Genetic Testing (3020627) to the initial order.

If ARUP receives cultured specimens below the minimum confluence, Cell Culture for Genetic Testing (3020627) will be added by ARUP for an additional fee. The client is responsible for maintaining backup cultures.

Storage/Transport Temperature

Cultured Amniocytes or Cultured CVS: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment due to viability of cells.

Unacceptable Conditions
Remarks

Patient history forms and informed consent documents are available by selecting the links above or by contacting ARUP Client Services. Counseling and informed consent are recommended for genetic testing. New York Clients: Informed consent is required with specimen submission.

Stability

Cultured Amniocytes or Cultured CVS: Room temperature: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable.
New York State Clients: Specimens must be received at performing laboratory within 24 hours of shipping. Older specimens will be evaluated by performing laboratory for acceptability. For specimen requirements and direct submission instructions please contact ARUP Referral Testing at 800-242-2787 ext. 5161.

Methodology

Massively Parallel Sequencing

Performed

Varies

Reported

14-21 days
Notes: Cell culture time is independent of testing turnaround time. Reported times are based on receiving the two T-25 flasks at 90 percent confluency. If cell culture is required at ARUP, an additional 1 to 2 weeks is required for processing time.

Reference Interval

Refer to report

Interpretive Data

Refer to report.

Compliance Category

Laboratory Developed Test (LDT)

Note

Genes Tested: AGPS ; ALPL ; ARSL ; CANT1 ; CCN6 ; CILK1 ; COL1A1 ; COL1A2 *; COL2A1 ; COL10A1 ; COL11A1 ; COL11A2 ; COMP ; CRTAP ; DDR2 ; DLL3 ; DYM *; DYNC2H1 ; EBP ; EVC ; EVC2 ; FGFR1 *; FGFR2 ; FGFR3 ; FKBP10 ; FLNA ; FLNB ; GDF5 ; GNPAT ; HSPG2 ; IFT80 ; INPPL1 ; LBR ; LIFR ; NEK1 *; NPR2 ; P3H1 ; PCNT ; PEX7 ; POR *; PPIB ; PTH1R ; RUNX2 ; SERPINH1 ; SLC26A2 ; SLC35D1 ; SMARCAL1 ; SOX9 ; TRIP11 ; TRPV4 ; TTC21B ; WDR19 ; WDR35
*One or more exons are not covered by sequencing and/or deletion/duplication analysis for the indicated gene; see Additional Technical Information.

Hotline History

N/A

CPT Codes

81405; 81408; 81479; 81265

Components

Component Test Code* Component Chart Name LOINC
0050548 Maternal Contamination Study Fetal Spec 59266-7
0050612 Maternal Contam Study, Maternal Spec 66746-9
2012011 Skeletal Dysplasia Panel Specimen, Fetal
2012012 Skeletal Dysplasia Panel Interp, Fetal
* 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

  • abnormal ribs
  • Achondrogenesis type IB and II
  • Achondroplasia
  • Acromesomelic dysplasia
  • Asphyxiating thoracic dystrophy, 2
  • Atelostogenesis
  • Bent bone dysplasia
  • bowed bones
  • Bruck syndrome I
  • Campomelic dysplasia
  • Chondrodysplasia Blomstrand type
  • Chondrodysplasia Grebe type
  • Chondrodysplasia punctate
  • ciastrophic dysplasia
  • cisordered steroidogenesis
  • Cleidocranial dysplasia
  • Cranioectodermal dysplasia
  • cyssegmental dysplasia
  • Desbuquois dysplasia
  • Diastrophic dysplasia
  • Disordered steroidogenesis
  • Dyssegmental dysplasia
  • Ellis Van Crevald syndrome
  • Endocrine-cerebroosteo dysplasia
  • Epiphyseal dysplasia multiple fractures
  • Frontometaphyseal dysplasia
  • Greenburg dysplasia
  • Juene syndrome
  • Metaphyseal chondrodysplasia Murk Hansen type
  • Metaphyseal dysplasia
  • Microcephalic osteodysplastic primordial dwarfism
  • Multiple synostosis syndrome
  • OI
  • Osteochondrodysplasia
  • Osteogenesis imperfecta
  • Otospondylomegaepiphyseal dysplasia
  • Platyspondylo dysplasia
  • Pseudoachondroplasia
  • Schneckenbecken dysplasia
  • Schwartz-Jampel syndrome
  • Sensenbrenner syndrome
  • Short long bones
  • Short rib thoracic dysplasia
  • Short rib-polydactyly type 2
  • Spondylocostal dysostosis
  • Spondyloepiphyseal dysplasia
  • Spondylometaepiphyseal dysplasia
  • Stuve-Wiedemann syndrome
  • Terminal osseous dysplasia
  • Thanatophoric dysplasia
  • Wyers acrofacial dysostosis
Skeletal Dysplasia Panel, Sequencing and Deletion/Duplication, Fetal