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Specimen Collection Manual and Test Catalog

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CHROMOSOME ANALYSIS, POC TISSUE

Geisinger Epic Procedure Code:  LAB2014    Geisinger Epic ID:  33519

SPECIMEN COLLECTION
Specimen type: 

Products of conception (POC) or tissue


Preferred collection container: 
Specimen required: 

5x5 mm (2x3mm min) POC or tissue collected in a sterile container in Hanks', Ringer's solution.


Special notes: 

Collect in sterile specimen container with Hanks' solution. Patient clinical history and reason for referral are required with test order.



SPECIMEN PROCESSING
Transport temperature: 

Room temperature.


Specimen stability: 

Specimen viability decreases during transit. Send specimen to testing lab for viability determination. Do not freeze. Do not reject

Room temperature: Preferred  Refrigerated: Acceptable  Frozen: Unacceptable


Rejection criteria: 

Frozen specimen unacceptable. Formalin-fixed specimens unacceptable.



TEST DETAILS
Interpretation guide: 

Interpretive report.


Additional information: 

Chromosome Analysis, POC Tissue - Chromosome analysis of products of conception (POC) can detect fetal chromosome abnormalities, which are associated with approximately one-half of all first trimester spontaneous abortions. Chromosome testing on fibroblasts obtained from a tissue biopsy is performed to investigate tissue specific mosaicism not present in blood lymphocytes. Fresh cells from tissue biopsies obtained postmortem may still be suitable for chromosome analysis when the patient's blood is not available or viable.


CPT code(s):  88233, 88262
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Submitted placental and/or fetal tissue is cultured. When available, at least 20 G-banded metaphases are examined microscopically for numerical and structural abnormalities and representative metaphases (minimum of 2) are karyotyped.


Methodology: 
Karyotype
Microscopy
Tissue culture
Synonyms: 

Products of Conception Analysis, Quest test code 14593, Cytology study-tissue, TISCR


Clinical significance: 

This test is useful to determine cause of miscarriage and recurrence potential.


Review Date:  10/07/2025

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