Chromosome Analysis, POC Tissue

Test Code
14593


CPT Codes
88233, 88262

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
5x5 mm tissue collected in a sterile container in Hanks', Ringer's solution, or culture medium with antibiotics


Minimum Volume
2x3 mm


Other Acceptable Specimens
Tissue in saline solution • Cultured cells collected in flasks


Instructions
Fetal tissue sample minimum of 2x3 mm collected in a sterile container with Hank's, Ringer's solution, culture medium with antibiotics, or saline solution.

Transport media should be refrigerated before use, but can be shipped at room temperature.


Transport Container
Sterile screw-cap container


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
Karyotype • Microscopy • Tissue Culture

Setup Schedule
Daily


Report Available
15 days


Reference Range
See Laboratory Report


Clinical Significance
Chromosome analysis of products of conception (POC) can detect fetal chromosome abnormalities, which are associated with approximately one-half of all first trimester spontaneous abortions. Chromosome testing on fibroblasts obtained from a tissue biopsy is performed to investigate tissue specific mosaicism not present in blood lymphocytes. Fresh cells from tissue biopsies obtained postmortem may still be suitable for chromosome analysis when the patient's blood is not available or viable. If chromosome analysis is unsuccessful, please contact the laboratory genetic counselor at 1-866-GENEINFO (1-866-436-3463) to discuss the option of adding chromosomal microarray (CMA) testing.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042



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.