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90961: Chrom. Micro. Hematologic Malignancy, Clarisure®, Oligo-SNP Print View
ClariSureOligo, Hemat Malig      
Specimen Type/Source/Vol:      
Clinical Indication:      
Prior Therapy/Transplant:      
Referring Physician:      
Referring Physician Phone:      
Client/Phone #:      
Client Accession #:      
Patient ID:      

PRIMARY
1 Bone Marrow Heparinized 3 (1) mL   Refrigerated - 48 Hour(s)/Room Temperature - 48 Hour(s)  
ALTERNATE
  Whole Blood ACD Sol B 5 (3) mL   Refrigerated - 48 Hour(s)/Room Temperature - 48 Hour(s)  
  Whole Blood Heparin 5 (3) mL   Refrigerated - 48 Hour(s)/Room Temperature - 48 Hour(s)  
  Whole Blood EDTA 5 (3) mL   Refrigerated - 48 Hour(s)/Room Temperature - 48 Hour(s)  
  Bone Marrow ACD Sol A   Room Temperature - 48 Hour(s)/Refrigerated - 48 Hour(s)  
  Bone Marrow ACD Sol B   Room Temperature - 48 Hour(s)/Refrigerated - 48 Hour(s)  
  WB NaHep Trace Metal   Room Temperature - 48 Hour(s)/Refrigerated - 48 Hour(s)  
  Bone Marrow Hep lead-free   Room Temperature - 48 Hour(s)/Refrigerated - 48 Hour(s)  
  Bone Marrow Hep(Royal Bl)   Refrigerated - 48 Hour(s)/Room Temperature - 48 Hour(s)  
  Cytogenetic Transport Med   Room Temperature - 48 Hour(s)/Refrigerated - 48 Hour(s)  
  Sod Heparin Lead-Free   Room Temperature - 48 Hour(s)/Refrigerated - 48 Hour(s)  
  Whole Blood ACD Sol A 5 (3) mL   Room Temperature - 48 Hour(s)/Refrigerated - 48 Hour(s)  
  Bone Marrow EDTA   Refrigerated - 48 Hour(s)/Room Temperature - 48 Hour(s)  

To integrate the microarray in the investigation of neoplasms to assess genomic alterations and overall genomic complexity of the abnormal clone. To be used in conjunction with other established clinical laboratory tests for the malignancy in question.

Bone marrow or whole blood in sodium heparin tube. Other tubes
vacutainer containing EDTA or ACD are acceptable. Solid Tumor
Specimen Requirement: Submit a tumor biopsy in a transport medium
(available upon request). Alongside, send the pathology report with
the diagnosis/clinical indication. Ship at room temperature. 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
Monday-Friday

Reported (Analytical Time)
16-17 days

CPT Code
81406

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






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