Amniotic Chromosome, Qualitative

Overview

  • EPIC Code:
  • LAB2157
  • Soft Test Code:
  • MSOT
  • Send Out Test Code:
  • 14590
Alternate Names
  • Amniotic Chromosome
  • Chromosome Analysis, Amniotic Fluid
  • Chromosome, Amniotic Fluid
  • Karyotype
  • Karyotype, Amniotic Fluid
Clinical Significance

Testing determines chromosomal status of the fetus. Numerical and structural chromosomal abnormalities can be diagnosed. Sex and the presence of more than one cell line (mosaicism) can also be determined. Indications include diagnosis of chromosome abnormalities in fetuses of women who are of advanced maternal age; had a previous child with a chromosome abnormality; parental carrier of a balanced translocation, inversion or marker chromosome; parental mosaicism and follow-up for abnormal maternal serum alpha fetoprotein or maternal screening results.


Specimen Collection & Preparation

Client Notes:

AneuVysion may be run simultaneously with this test utilizing the same specimen.


Specimen Requirements

20 mL fresh amniotic fluid submitted in sterile, nontoxic centrifuge tubes


Alternate Specimen

 


TransportAndStorage

1 day Ambient (transport/ship)
1 day Refrigerated
Unacceptable Frozen


Collection Instructions

Indicate the patient’s gestational age; reason for study and family history.

Designate if Alpha-Fetoprotein or Acetylcholinesterase tests are needed

30 mL is preferred if other testing, e.g., microarray, FISH, is ordered


Minimum Volume

5.0 mL amniotic fluid


Neonatal Volumne

Clinical Interpretation

Reference Range:

See Interpretive Report


Test Comments:

Amniotic fluid cells from two or more primary cultures are studied. G-banded metaphases are analyzed microscopically for numerical and structural abnormalities, and representative metaphases (minimum of 2) are karyotyped.


Methodology:
  • Culture
  • Karyotype
  • Microscopy

Clinical Significance

Testing determines chromosomal status of the fetus. Numerical and structural chromosomal abnormalities can be diagnosed. Sex and the presence of more than one cell line (mosaicism) can also be determined. Indications include diagnosis of chromosome abnormalities in fetuses of women who are of advanced maternal age; had a previous child with a chromosome abnormality; parental carrier of a balanced translocation, inversion or marker chromosome; parental mosaicism and follow-up for abnormal maternal serum alpha fetoprotein or maternal screening results.


Documentation

This test may be replaced by other Bill Codes, if the complete study cannot be performed, or if the specimen does not yield mitotically active cells for analysis (CPT(s): 88235, 88299).


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Sendouts - Miscellaneous
Turn Around Time

6 to 8 days


Coding & Compliance

CPT Coding

88235, 88269, 88280