PLASMA CELL DISORDER (MYELOMA), FISH

Test Code
LAB1238021


CPT Codes
882718 x8-18, 88275 x5-10

Includes
If plasma cells <2%sample maybe QNS.


Preferred Specimen
Bone Marrow: 1 mL aspirate (sodium heparin)


Minimum Volume
Bone Marrow: 0.5mL aspirate (sodium heparin) *Minimum volume required depends on plasma cell concentration in the sample. This is the minimum volume for FISH only. Karyotype requires 0.5- 1.0 mL of its own.


Instructions
Place in cytogenetics bucket near chemistry.


Transport Temperature
Ambient or refrigerated (prolonged transport conditions)  NEVER FROZEN


Specimen Stability
Bone Marrow:: Ambient(preferred),  Refrigerated (acceptable) NEVER FROZEN


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Insufficient or clotted sample, more than 4 days old when received in laboratory.


Methodology
Fluorescent In Situ Hybridization (FISH) (Panel includes the following probes: D13S319, TP53, CKSIB/CDKN2C, Hyperdisplidy (+5, +9, +15), IGH, IGH/FGFR3, IGH/CCNDI,  IGH/MAF, IGH/MYC, IGH/MAFB)

Setup Schedule
Samples processed Monday through Saturday. Results reported
Monday through Friday


Reference Range
An interpretive report will be provided


Performing Laboratory
West Virginia University Hospital, Inc.




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.