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16478: Chromosomal Microarray, Postnatal, ClariSure® Oligo-SNP Print View
ClariSure OligoSNP,Pstntl      
Diagnosis:      
Physician Name:      
Physician Phone #:      
Physician NPI      

PRIMARY
1 Whole Blood Heparin 5 (3) mL   Refrigerated - 5 Day(s)/Room Temperature - 5 Day(s)  
ALTERNATE
  Whole Blood Heparin Tan 5 (3) mL   Room Temperature - 5 Day(s)/Refrigerated - 5 Day(s)  
  WB NaHep Trace Metal   Refrigerated - 5 Day(s)/Room Temperature - 5 Day(s)  
  Whole Blood EDTA 5 (3) mL   Refrigerated - 5 Day(s)/Room Temperature - 5 Day(s)  

Determine genetic cause of developmental delay (DD) or mental retardation (MR) in patients with or without dysmorphic features. Confirm, exclude, (or clarify) the diagnosis of known chromosomal syndromes. Assist in clinical management and genetic counseling. High resolution detection of chromosome segments involved in deletions, duplications, and long continuous stretches of homozygosity.

Whole blood, Critical NICU/Neonates 0.5mL. All others 3-5 mL (3 mL
minimum). Green Vacutainer (sodium heparin) or Lavender Top (EDTA).
Ship at room temperature. Other vacutainer tubes containing sodium
heparin are acceptable. See Genetics Specimen Collection Section for
detailed specimen instructions.

Specimen viability decreases during transit. Send specimen to testing
lab for viability determination. Do not reject.
Setup Schedule
Sunday-Saturday

Reported (Analytical Time)
12-15 days

CPT Code
81229

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
Methodology: Oligo-SNP Array Preferred Specimen: 5 mL (3 mL minimum) whole blood collected in a sodium heparin (green- top) tube Acceptable Specimen: Sodium heparin (royal blue-top) tube or sodium heparin lead-free (tan- top) tube or EDTA (lavender-top) tube






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