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22276 Chromosome Analysis, Neoplastic Blood

Chromosome Analysis, Neoplastic Blood
Test Code: CHRC-NB
Synonyms/Keywords
Karyotyping, Karyotype, Neoplastic Blood, Hematological Disorders, Chromosome Culture​
Useful For
Identification of chromosome anomalies in patients with hematological disorders of the blood.  Patients need to have at least 10% immaturity in the peripheral blood.​
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
 Pediatric Minimum Volume
No​ Peripheral Blood, Whole Blood​ Sodium-heparin Green Top Tube(GTT)​ ​ 4.0 mL​ 1.0 mL​ 1.0 mL​
Collection Processing Instructions
Invert the tube several times to assure that no clotting takes place.
 
Include results of most recent hemogram (CBC and differential), pertinent clinical information and appropriate ICD-10 code(s).
 
Notify Cytogenetics (800-222-5835, ext. 16388) when specimen is collected.
 
No contingent/ hold orders will be accepted Fridays or Saturdays due to loss of specimen integrity.
Contingent/ hold orders must be resolved by the client by 1500 Friday.
If notification is not received, chromosome analysis will be performed and charged. Contact the Cytogenetics Department at 715-221-6388.
Specimen Stability Information
Specimen Type Temperature Time
Peripheral Blood​ ​ Room Temperature​ Overnight​
Refrigerate​ If delay is longer than 24 hours​
Rejection Criteria
Frozen
Interference
If collected in tubes other than sodium heparin,(i.e. EDTA, lithium heparin)the growth and quality of the culture can be affected.​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday - Saturday​ 2 weeks​ Manual​
Test Information
All patient specimens are prioritized by clinical indication.  Inquiries may be called to Cytogenetics (800-222-5835, ext. 16388).​
Reference Range Information
​      Performing Location               Reference Range   ​
Marshfield​ ​    Interpretive Report
Interpretation
​See Critical Value List for list of current critical values.
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
88237​ ​ ​ Culture​ ​
88264​ ​ ​ Analyze 20-25 cells​ ​
88280​ ​ ​ Additional karyotype, each​ Charge as needed​
88283​ ​ ​ Special Banding​ Charge as needed​
88285​ ​ ​ Additional Cell Count​ Charge as needed​
88291​ ​ ​ Cytogenetics Interp/report​ Charge as needed​
88237​ ​ ​ Additional Culture​ Charge as needed​
Synonyms/Keywords
Karyotyping, Karyotype, Neoplastic Blood, Hematological Disorders, Chromosome Culture​
Ordering Applications
Ordering Application Description
​Centricity ​Chrom Culture, NPlas Blood
​Cerner ​Chromosome Analysis, Neoplastic Blood
​​ ​Chrom Cult-Neoplastic Blood
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
 Pediatric Minimum Volume
No​ Peripheral Blood, Whole Blood​ Sodium-heparin Green Top Tube(GTT)​ ​ 4.0 mL​ 1.0 mL​ 1.0 mL​
Collection Processing
Invert the tube several times to assure that no clotting takes place.
 
Include results of most recent hemogram (CBC and differential), pertinent clinical information and appropriate ICD-10 code(s).
 
Notify Cytogenetics (800-222-5835, ext. 16388) when specimen is collected.
 
No contingent/ hold orders will be accepted Fridays or Saturdays due to loss of specimen integrity.
Contingent/ hold orders must be resolved by the client by 1500 Friday.
If notification is not received, chromosome analysis will be performed and charged. Contact the Cytogenetics Department at 715-221-6388.
Specimen Stability Information
Specimen Type Temperature Time
Peripheral Blood​ ​ Room Temperature​ Overnight​
Refrigerate​ If delay is longer than 24 hours​
Rejection Criteria
Frozen
Interference
If collected in tubes other than sodium heparin,(i.e. EDTA, lithium heparin)the growth and quality of the culture can be affected.​
Useful For
Identification of chromosome anomalies in patients with hematological disorders of the blood.  Patients need to have at least 10% immaturity in the peripheral blood.​
Reference Range Information
​      Performing Location               Reference Range   ​
Marshfield​ ​    Interpretive Report
Interpretation
​See Critical Value List for list of current critical values.
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield​ Monday - Saturday​ 2 weeks​ Manual​
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
88237​ ​ ​ Culture​ ​
88264​ ​ ​ Analyze 20-25 cells​ ​
88280​ ​ ​ Additional karyotype, each​ Charge as needed​
88283​ ​ ​ Special Banding​ Charge as needed​
88285​ ​ ​ Additional Cell Count​ Charge as needed​
88291​ ​ ​ Cytogenetics Interp/report​ Charge as needed​
88237​ ​ ​ Additional Culture​ Charge as needed​
For most current information refer to the Marshfield Laboratory online reference manual.