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Fluorescence in situ Hybridization (FISH), Oncology

CPT

Contact CPT coding department at 800-222-7566, ext 6-8400.

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  • Updated on 03/31/2025

Test Details

Methodology

Fluorescence in situ hybridization (FISH)

Result Turnaround Time

3 - 5 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

Use

This test is used for confirmation/identification of leukemia/lymphoma-related alterations and leukemia/lymphoma monitoring of residual disease, transplants and indolent clones (see list or call lab for probe availability).

Confirmation/identification of leukemia/lymphoma-related alterations; leukemia/lymphoma monitoring of residual disease, transplants, and indolent clones (see list or call lab for probe availability).

This test is used for confirmation/identification of leukemia/lymphoma-related alterations and leukemia/lymphoma monitoring of residual disease, transplants and indolent clones (see list or call lab for probe availability).

Special Instructions

Call for additional probes not listed above. Pertinent clinical diagnosis, previous cytogenetic studies, and probe of interest should be included with the specimen (Call for a list of available probes or see online list.).

This test number is used for tracking oncology FISH specimens to the laboratory. Bill codes will be added when testing is complete, based on the processes performed in the laboratory.

Please provide targeted FISH probe and diagnosis. This test is essentially a tracking code, and the test will only be performed after the probes and diagnosis is provided. Absence of this information will delay turnaround time.

Limitations

Molecular mutations or chromosomal alterations not targeted by the probe included in this profile will not be detected. 

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Molecular mutations or chromosomal alterations not targeted by the probe included in this profile will not be detected. 

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Specimen Requirements

Specimen

Whole blood, bone marrow, CSF, fixed-cell pellet from a cytogenetic analysis, slide with metaphase and/or interphase nuclei or bone marrow touch preparation slides are acceptable for testing.

Fixed-cell pellet from a cytogenetic analysis, slides with metaphases and/or interphase nuclei, or bone marrow touch prep slides. Blood, bone marrow, cerebrospinal fluid (CSF), FNA are also acceptable.

Whole blood, bone marrow, CSF, fixed-cell pellet from a cytogenetic analysis, slide with metaphase and/or interphase nuclei or bone marrow touch preparation slides are acceptable for testing.

Volume

Fixed-cell pellet, three slides, 10 mL blood (adult), 5 mL blood (pediatric), or 3 mL bone marrow

Minimum Volume

Fixed-cell pellet from a cytogenetic analysis, two slides, 5 mL blood (adult), 1 mL blood (pediatric), or 1 mL bone marrow

Container

Green-top (sodium heparin) tube; pediatric Vacutainer® is optimal or lavender-top (EDTA) tube (suboptimal). For samples with shared karyotype (510999) and any FISH study in the same tube, EDTA is not recommended due to the growth inhibition in cell culture. Adjust tube size to sample volume to avoid heparin toxicity.

Green-top (heparin) tube; pediatric Vacutainer® is optimal or lavender-top (EDTA) tube

Green-top (sodium heparin) tube; pediatric Vacutainer® is optimal or lavender-top (EDTA) tube (suboptimal). For samples with shared karyotype (510999) and any FISH study in the same tube, EDTA is not recommended due to the growth inhibition in cell culture. Adjust tube size to sample volume to avoid heparin toxicity.

Collection Instructions

Utilize sterile technique and Labcorp transport kits when possible.

Transport to the testing lab at room temperature; use a cool pack or LabCorp transport kit. Do not allow the sample to freeze.

Utilize sterile technique and Labcorp transport kits when possible.

Storage Instructions

Maintain specimen at room temperature.

Causes for Rejection

Broken or dirty slides; excessive cellular debris or stained slides; frozen specimen

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
510669 FISH Oncology 510670 Specimen Type 31208-2
510669 FISH Oncology 510671 Cells Counted 62361-1
510669 FISH Oncology 510672 Cells Analyzed 62360-3
510669 FISH Oncology 510673 FISH Result 62356-1
510669 FISH Oncology 510674 Interpretation 62365-2
510669 FISH Oncology 510638 Director Review: 48672-0
510669 FISH Oncology 512123 PDF 11502-2
Order Code510669
Order Code NameFISH Oncology
Order Loinc
Result Code510670
Result Code NameSpecimen Type
UofM
Result LOINC31208-2
Order Code510669
Order Code NameFISH Oncology
Order Loinc
Result Code510671
Result Code NameCells Counted
UofM
Result LOINC62361-1
Order Code510669
Order Code NameFISH Oncology
Order Loinc
Result Code510672
Result Code NameCells Analyzed
UofM
Result LOINC62360-3
Order Code510669
Order Code NameFISH Oncology
Order Loinc
Result Code510673
Result Code NameFISH Result
UofM
Result LOINC62356-1
Order Code510669
Order Code NameFISH Oncology
Order Loinc
Result Code510674
Result Code NameInterpretation
UofM
Result LOINC62365-2
Order Code510669
Order Code NameFISH Oncology
Order Loinc
Result Code510638
Result Code NameDirector Review:
UofM
Result LOINC48672-0
Order Code510669
Order Code NameFISH Oncology
Order Loinc
Result Code512123
Result Code NamePDF
UofM
Result LOINC11502-2