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CHROMOSOME MICROARRAY ASSAY: (138-0024)

Clinical Indication:

 Postnatal Constitutional Disorders of Developmental Disabilities or Congenital Anomalies

Test Mnemonic:

 SNP CMA

Methodology:

 Oligo-SNP Array

Performed:

 Molecular Diagnostics Laboratory

Turnaround Time:

 10-12 Days

Specimen Requirements: Patient Preparation: Patient/Legal Guardian counseling and informed consent are recommended for genetic testing.

Collect: Lavender (EDTA) or green (Sodium heparin) tube. 3ml of whole blood is required

Specimen Preparation: No processing

Storage/Transport: Ambient or refrigerated. Do not freeze.

Stability: Ambient: 48 hours; Refrigerated: 72 hours

Causes for Rejection: Incomplete and/or incorrect sample identification, frozen samples, incorrect collection container, samples other than whole blood

Clinical Information:

Patient clinical information is helpful to interpret test results. Please submit the "Genomic SNP Microarray Patient Clinical Information Form" and the "Informed Consent for Whole Genome SNP Microarray Testing" forms with patient samples. UTMB MDL Microarray Pt History Form.pdf

UTMB MDL Microarray Consent Form.pdf

Reference Range:

See report

Note:

 The purpose of the SNP microarray test is to look for the presence of mutations, hereby called "Copy Number Variation" or CNV and "Loss of Heterozygosity" or LOH throughout the entire genomic DNA. This type of genetic testing may be used to confirm a diagnosis in a person affected by an illness or may be used in individuals who have a family history of a genetic condition to determine presence or not of disease mutations and determine disease predisposition.

CPT 4 Code:

 81229

Review 2/28/2013by Dr. Dong, Theresa Friloux

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient.  Components of the organ or disease panels may be ordered individually.  The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

 

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