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CHROMOSOMAL
MICROARRAY ANALYSIS |
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Reporting
Title: 105K Chromosomal Microarray
Analysis |
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Test
Performed At: |
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Specimen
Required: |
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BOTH EDTA AND SODIUM
HEPARIN SAMPLES ARE REQUIRED! |
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Draw 4.0 ml (2.0 ml
minimum) whole blood in a purple-top (EDTA) tube(s) AND 4.0 ml (2.0 ml
minimum) whole blood in a dark-green (sodium heparin) tube(s). NO GEL TUBES WILL BE ACCEPTED. COLLECT MONDAY – THURSDAY ONLY! Must arrive in lab by 1630 (Monday –
Thursday ONLY!) Please send a complete Baylor Requisition &
Consent Form with the samples. |
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Laboratory Notes: |
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DO NOT SPIN. Send BOTH
4.0 ml (2.0 ml minimum) EDTA tube AND
4.0 ml (2.0 ml minimum) Sodium Heparin tube at ambient temperature MONDAY – THURSDAY ONLY! Must have
completed BCM GENETICS requisition sent with samples. |
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NOTE: |
1. |
Orderable
test name “Chrom Microarray” is for the Baylor
test code #8655 (105K CMA). |
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2. |
If Athena test code #8635
(44K CMA) is checked on requisition, check with ordering physician to make
certain that correct test is marked on req. |
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a. |
44K
CMA tests
will need to be ordered as ‘Misc Ref SLC’ |
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3. |
Samples
must be received at Baylor within 24 hours of collection. If received on
Friday – Sunday, specimen needs to be cancelled and recollected Monday –
Thursday. |
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Reference
Values: |
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Interpretive report |
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Day(s)
Test Set Up: |
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Monday – Friday |
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Cut-off Time: |
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Turn Around Time: |
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10-14 days |
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CPT Code: |
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88386 x 5 |
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88367 |
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88230 |
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83912 |
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83892 x 2 |
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83898 |
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83894 |
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83891 |
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Care Manager Order Name: |
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Chromosomal
Microarray Analysis |
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Cerner Order Name: |
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Chrom Microarray |
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Last
Updated 11/08