FISH, Prader-Willi/Angelman Syndrome

Test Code
14605


CPT Codes
88271, 88273

Physician Attestation of Informed Consent
This germline genetic test requires physician attestation that patient consent has been received if ordering medical facility is located in AK, DE, FL, GA, IA, MA, MN, NV, NJ, NY, OR, SD or VT or test is performed in MA.


Preferred Specimen
5 mL whole blood collected in a sodium heparin (green-top) tube


Minimum Volume
1 mL


Other Acceptable Specimens
Sodium heparin (royal blue-top) tube • Sodium heparin lead-free (tan-top) tube


Instructions
Clinical history and reason for referral are required with test order.

If this test is ordered without routine G-band chromosome analysis, a Tissue Culture charge will be added; if results are not possible from the submitted specimen, the test order will be canceled and replaced with a Cytogenetics Communication.


Transport Temperature
Room temperature


Specimen Stability
Specimen viability decreases during transit. Send specimen to testing lab for viability determination. Do not freeze. Do not reject.


Methodology
Fluorescence in situ Hybridization (FISH)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Mon-Sat; Report available: 14 days


Reference Range
See Laboratory Report


Clinical Significance
This test is used to detect microdeletions of chromosome 15q11-q13, associated with Prader Willi syndrome using FISH (Fluorescence in situ hybridization).




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.