Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

CHROMOSOME, TISSUE

ORDERING INFORMATION:
Sunquest Test Code:
TISCR      Geisinger Epic Procedure Code: TISCR         Geisinger Epic ID: 33519

SPECIMEN COLLECTION
Specimen type:
Products of conception (POC) or tissue
Preferred collection container:
Specimen required:
POC or tissue in Hanks solution.
Special notes:
Collect in sterile specimen container with Hanks' solution. Patient clinical history and reason for referral are required with test order.

SPECIMEN PROCESSING
Transport temperature:
Refrigerate.
Rejection criteria:
Frozen specimen unacceptable. Formalin fixed specimens unacceptable.

TEST DETAILS
Interpretation guide:
Interpretive report.
Additional information:
Approximately 50% of first trimester spontaneous abortuses have abnormal karyotypes. This test is useful to determine cause of miscarriage and recurrence potential. As products of conception can be contaminated or be necrotic by the time of collection, tissue culture may be unsuccessful. Another approach is the study of parental karyotypes from peripheral blood for potential balanced abnormalities that may be heritable in unbalanced forms. This is generally recommended for couples who have experienced three or more spontaneous losses. This test may be replaced by one of the following Test Codes if the specimen does not contain tissue of fetal origin (membrane, villi, or fetus), if the specimen does not yield mitotically active cells for metaphase analysis, or if there are fewer than the standard number of metaphases for analysis. Replacement Test Codes are: 4475 - Chromosome Analysis, No Culture Initiated; 4477 - Chromosome Analysis, Tissue, No Growth; 416 - Cytogenetics Communication, if a communication is required.
CPT code(s):
88233, 88262
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Submitted placental and/or fetal tissue is cultured. When available, at least 20 G-banded metaphases are examined microscopically for numerical and structural abnormalities and representative metaphases (minimum of 2) are karyotyped.
Methodology:
Culture
Chromosome Analysis
Karyotype
Synonyms:
Products of Conception Analysis, Quest test code 14593
Cytology study-tissue
Clinical significance:
This test is useful to determine cause of miscarriage and recurrence potential.

Performing Locations

Quest Diagnostics

Technical Lead: Michael Weaver    
Frequency: Monday-Saturday morning. Report available 15 days.    
Performed stat? No
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