Chromosome Analysis, Mosaicism, Amniotic Fluid

Test Code
39935


CPT Codes
88235, 88269, 88280, 88285<br /> Limited Access Code

Preferred Specimen
30 mL fresh amniotic fluid submitted in sterile centrifuge tubes


Minimum Volume
10 mL


Instructions
Patient's age, gestational age, and indication(s) for testing are necessary; please submit completed cytogenetics requisition form with information. Do not split even if AFP requested. Send all tubes to lab (supernatant for AFP will be split by cytogenetics lab).

**Signed informed consent is a requirement. Amniotic fluid kit and handling instruction available upon request.

Special study with additional cells counted and billed may be added due to concurrent testing results. This test may be replaced by other Bill Codes, if the complete study cannot be performed, or if the specimen does not yield mitotically active cells for analysis: Prenatal Specimen Culture; or Cytogenetics Communication (if a communication is required).

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


Transport Temperature
Room temperature


Specimen Stability
Room temperature: Preferred
Refrigerated: Acceptable
Frozen: Unacceptable


Methodology
Microscopy • Culture • Karyotype

Setup Schedule
Set up: Daily; Report available: 9-12 days


Reference Range
Interpretive report


Clinical Significance
Chromosome Analysis, Amniotic Fluid - Testing determines chromosomal status of the fetus. Numerical and structural chromosomal abnormalities can be diagnosed. Sex and the presence of more than one cell line (mosaicism) can also be determined. Indications include diagnosis of chromosome abnormalities in fetuses of women who are of advanced maternal age; had a previous child with a chromosome abnormality; parental carrier of a balanced translocation, inversion or marker chromosome; parental mosaicism and follow-up for abnormal maternal serum alpha fetoprotein or maternal screening results.




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.