Chromosome Analysis, Mosaicism

Test Code
14597


CPT Codes
88230, 88263

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 sodium heparin (green-top) tube, or sodium heparin (royal blue-top) tube, or sodium heparin lead-free (tan-top) tube


Minimum Volume
1 mL


Instructions
Clinical history/reason for referral is required with test order.

Ship at room temperature. Specimen viability decreases during transit. Do not freeze. Do not reject.

Preliminary results available for neonatal specimens three days after receipt.


Transport Temperature
Room temperature


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


Methodology
Karyotype • Microscopy • Tissue Culture

Setup Schedule
Set up: Daily; Report available: 10 days


Reference Range
See Laboratory Report


Clinical Significance
This chromosome study will examine 50 metaphase cells, whereas a standard chromosome analysis will examine 20 metaphase cells. This test for mosaicism is used to assess for constitutional chromosomal mosaicism or chimerism. While standard chromosome analysis can detect mosaicism ≥14%, this test can detect mosaicism ≥6% (at a 95% confidence level).




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.