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Chromosome Microarray (CMA), Post-Natal

eDH Procedure Code(s)

LAB3858 Chromosome microarray, SNP
LAB1757 Chromosome Microarray, SNP, Buccal (GC Only)
LAB1825 Chromosome Microarray, SNP, Buccal (GC Only) —LAB ONLY

Test Information

Chromosome Microarray, SNP, Buccal [LAB1825] – this order is restricted to Genetics Department and is used to order when a buccal kit is necessary

Order Questions

LAB1757 Chromosome Microarray, SNP, Buccal (GC Only)
  • How will patient be provided a buccal kit for this collection?
  • Reason for Genetic Referral:
  • Secondary reason for Genetic Referral
  • I understand that it is my responsibility (as the ordering provider) to obtain a signed consent form when ordering germline genetic testing and that the DHMC genetic consent form can be found here: Genetic Consent Form
.
LAB1825 Chromosome Microarray, SNP, Buccal (GC Only)
  • How will patient be provided a buccal kit for this collection?
  • Reason for Genetic Referral:
  • Secondary reason for Genetic Referral
  • I understand that it is my responsibility (as the ordering provider) to obtain a signed consent form when ordering germline genetic testing and that the DHMC genetic consent form can be found here: Genetic Consent Form
.
LAB3858 Chromosome microarray, SNP
  • I understand that it is my responsibility (as the ordering provider) to obtain a signed consent form when ordering germline genetic testing and that the DHMC genetic consent form can be found here: Genetic Consent Form
.
  • Reason(s) for genetic referral:
  • Reason for Genetic Referral:
  • Secondary reason for Genetic Referral

Collection Information

DO NOT SPIN

Specimen Information

Specimen Type Specimen Source Acceptable Containers Minimum Test Volume (mL)
Blood Blood, Venous Lav6-R 3.0
Blood Blood, Venous Lav4-R 1.0
Swab Buccal Mucosa BucSwb-R

Shipping and Handling

Processing Instructions: N/A

Transport Temperature: Refrigerated @ 4°C
Transport Instructions: N/A

Specimen Stability Unprocessed
Unprocessed: Refrigerated @ 4°C for 7 days
Specimen Stability Post Processing
Ambient: N/A
Refrigerate: N/A
Frozen: N/A

Test Components

Component LOINC Code
CMA (RESULT) 62343-9
CMA GENES CONTAINED WITHIN THE IDENTIFIED REGION
CMA INDICATION FOR STUDY 42349-1
CMA INTERPRETATION 69965-2
CMA LIMITATIONS & DISCLAIMERS 48767-8
CMA METHODS 85069-3
CMA NOMENCLATURE
CMA OTHER INDICATION FOR STUDY 42349-1
SIGN-OUT BY 49244-7

Turnaround Time (TAT)

30 Days

CPT Code(s)

81229

Performing Lab Section

Cytogenetics

Performing Lab(s)

Dartmouth Hitchcock Medical Center Laboratory (MHMH)