Chromosome Analysis, DEB Assay for Fanconi Anemia, Prenatal

Test Code

17455

CPT Codes
88235, 88249

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

25 mL fresh amniotic fluid

Minimum Volume

15 mL

Other Acceptable Specimens

2 T-25 flasks filled with culture medium, each containing primary or early passage monolayers

Instructions

Please call the Cytogenetics laboratory at 1-800-336-3718

,
ext. 65300, to arrange for specimen submission.

Clinical history and reason for referral are required with specimen submission.

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
Tissue Culture • Chromosome Breakage (DEB)

Setup Schedule

Mon-sat

Report Available

21 days

Reference Range

See Laboratory Report

Performing Laboratory

Quest Diagnostics Nichols Institute-Chantilly VA

14225 Newbrook Drive

Chantilly, VA 20151-2228

Last Updated: November 6, 2024

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.