Last Modified:
5/30/2023 6:44:12 AM
Medical Necessity Documentation:
Client Notes:
If adding to an exsisting Oncology Chromosome Test, then specimen may not be need please contact the Parkview Health Laboratories at 266-1500 (option 1)
Clinical history and reason for referral are required with test order. Prior therapy and transplant history should be provided with test order.
Patient Preparation:
Specimen Requirements:
3.0 mL Bone Marrow in a Green Top Tube - Na Heparin
Collection Instructions:
Minimum Volume:
1.0 mL Bone Marrow
Transport & Storage: Temperature/Stability:
Ambient (transport)
Specimen viability decreases during transit. Send specimen to testing lab for viability determination. DO NOT FREEZE. DO NOT REJECT.
Rejection Criteria:
FROZEN
Reference Range:
Refer to Interpretive Results
Critical Ranges:
Test Comments:
If results are not possible, the test order may be canceled and replaced by code 39650 - Cytogenetics Communication.
Methodology:
Fluorescence in situ Hybridization (FISH)
Clinical Significance:
Fluorescence in situ hybridization (FISH) to detect rearrangements of the RARA region of chromosome 17 using a dual color breakapart probe.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
5 to 6 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday
Sites Performed:
Quest - Chantilly
PHL Test Code:
AM2F
EPIC Test Code:
LAB3071
Send Out Test Code:
16665
Alternate Test Names:
AML M3, RARA-BA ; FISH AML M3; FISH, AML M3, RARA Breakapart; Translocation 15,17
Included Tests:
CPT Coding:
88271 x2, 88275
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