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Time Sensitive

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Cytogenetic Test Request Form Recommended (ARUP form #43098)

Ordering Recommendation

Rapid detection of aneuploidy involving chromosomes X, Y, 13, 18, and 21. Assay offered in conjunction with chromosome study.

New York DOH Approval Status

This test is not New York state approved. There are no New York state-approved laboratories available. Submit a Non-Permitted Laboratory Request Form (NPL) to the NYDOH prior to collection of specimen. If NPL is approved by NYDOH, and sample is received at ARUP, testing will be performed.

Specimen Required

Patient Preparation
Collect

Thaw media prior to collection. Chorionic villus in a sterile, screw-top container filled with tissue culture transport medium (ARUP Supply #32788). Available online through eSupply using ARUP Connect(TM) or contact ARUP Client Services at 800-522-2787.

Specimen Preparation

DO NOT FREEZE. Do not place in formalin. Transport chorionic villus (CVS) specimen in a sterile, screw-top container filled with tissue culture transport medium.

Storage/Transport Temperature

Room temperature.

Unacceptable Conditions

Frozen specimens. Specimens preserved in formalin.

Remarks

This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for Cytogenetic (Chromosome) Studies with the electronic packing list (available at https://www.aruplab.com/genetics/forms.php).

Counseling and informed consent are recommended for genetic testing. Consent forms are linked above.

New York Clients: informed consent is required with submission.
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 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

1-3 days

Reference Interval

Interpretive Data



Compliance Category

Laboratory Developed Test (LDT)

Note

This test must be ordered using a 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).
If chromosome analysis is not performed at ARUP on the same sample, Amniotic Fluid Culture Processing Fee (0093269) will be added to account for sample processing, and additional charge will apply.

Hotline History

N/A

CPT Codes

88271 x5; 88275 x5

Components

Component Test Code* Component Chart Name LOINC
0040204 Chorionic Villus, FISH 55193-7
2002193 EER Chorionic Villus, FISH 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

  • Common trisomy FISH panel
  • CVS
  • CVS FISH
  • Insight
  • prenatal FISH
Chorionic Villus, FISH