Chromosomal Microarray, Hematologic Malignancy, ClariSure® Oligo-SNP

Test Code

90961

CPT Codes
81277

Preferred Specimen

3 mL bone marrow collected in a sodium heparin (green-top) tube

Minimum Volume

1 mL bone marrow • 3 mL peripheral blood

Other Acceptable Specimens

Bone marrow collected in: Sodium heparin (royal blue-top), sodium heparin lead-free (tan-top), EDTA (lavender-top) tube, acid citrate dextrose ACD-A or B (yellow-top) tube • 5 mL peripheral blood collected in: Sodium heparin (green-top), sodium heparin (royal blue-top), sodium heparin lead-free (tan-top), EDTA (lavender-top), acid citrate dextrose ACD-A or B (yellow-top) tube • 5x5 mm fresh Tumor biopsy collected in a transport media

Instructions

Solid tumor specimen requirement: Submit a tumor biopsy in a transport medium (available upon request). Alongside send the pathology report with the diagnosis/clinical indication.

See genetics specimen collection section for detailed specimen instructions.

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: See Instructions
Refrigerated: See Instructions
Frozen: See Instructions

Methodology
Oligo-SNP Array

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: Daily; Report available: 12 days

Reference Range

See Laboratory Report

Clinical Significance

To integrate the microarray in the investigation of neoplasms to assess genomic alterations and overall genomic complexity of the abnormal clone. To be used in conjunction with other established clinical laboratory tests for the malignancy in question.

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.