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Chromosome Analysis With Reflex to SNP Microarray−Pediatric (Reveal®)

CPT

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

Synonyms
  • aCGH
  • CGH
  • Chromosome RFX Microarray Pediatric/Adult
  • High Resolution G-Banding
  • Prometaphase Analysis
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  • Updated on 03/24/2025

Test Details

Methodology

Culture of cells in special medium; colcemid arrest of cells in prophase stage of mitosis following cell synchronization techniques; if cytogenetic analysis is normal, SNP microarray analysis is performed using the Cytoscan® HD Accel platform, which uses 743,000 SNP probes and 2,029,441 NPCN probes with a median spacing of 0.818 kb

Culture of cells in special medium; colcemid arrest of cells in prophase stage of mitosis following cell synchronization techniques. If cytogenetic analysis is normal, SNP microarray analysis is performed using the Cytoscan® HD platform, which uses more than 743,000 SNP probes and 1,953,000 NPCN probes with a median spacing of 0.88 kb.

Culture of cells in special medium; colcemid arrest of cells in prophase stage of mitosis following cell synchronization techniques; if cytogenetic analysis is normal, SNP microarray analysis is performed using the Cytoscan® HD Accel platform, which uses 743,000 SNP probes and 2,029,441 NPCN probes with a median spacing of 0.818 kb

Result Turnaround Time

14 - 25 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.

Use

This test detects microscopically visible chromosomal abnormalities and, if normal, SNP array reflex will detect chromosomal imbalances that could be associated with developmental delay/congenital anomalies.It provides detection of possible uniparental disomy of any chromosome, the percent and location of homozygosity, including the degree of identity by descent.

Detects microscopically visible chromosomal abnormalities and, if normal, SNP array reflex will detect chromosomal imbalances that could be associated with developmental delay/congenital anomalies.It provides detection of possible uniparental disomy of any chromosome, the percent and location of homozygosity, including the degree of identity by descent.

This test detects microscopically visible chromosomal abnormalities and, if normal, SNP array reflex will detect chromosomal imbalances that could be associated with developmental delay/congenital anomalies.It provides detection of possible uniparental disomy of any chromosome, the percent and location of homozygosity, including the degree of identity by descent.

Special Instructions

Pertinent medical findings must accompany request. Call 800-345-4363 to request forms, or photocopy the Clinical Questionnaire for SNP Microarray from the Genetics Appendix online. This test may also be performed on adults.

When a child tested with this assay is found to have an abnormal array of unknown clinical significance that may be clarified through parental testing, there will be no charge associated with the follow-up parental testing that is based on the child's results. All other parental follow-up testing will be charged, including (but not limited to) autism susceptibility regions, known microdeletions/microduplications, autosomal recessive deletions/duplications, and large copy-number changes with likely pathogenic significance. The child's abnormal array results will indicate whether parental testing will be performed at no charge and will include the appropriate parental follow-up test number. For parental follow-up testing for arrays not performed at LabCorp, call 800-345-4363 to speak to a genetic counselor.

Limitations

The SNP assay does not detect balanced rearrangements, low-level mosaicism (<10%), marker chromosomes that only contain heterochromatin or tetraploidy.

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

The SNP assay does not detect balanced rearrangements, low-level mosaicism (<10%), marker chromosomes that only contain heterochromatin or tetraploidy.

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

The SNP assay does not detect balanced rearrangements, low-level mosaicism (<10%), marker chromosomes that only contain heterochromatin or tetraploidy.

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

Volume

 5 mL (adults), 2 mL (neonates)

6 mL (adults), 3 mL (pediatric)

 5 mL (adults), 2 mL (neonates)

Minimum Volume

2 mL

Container

Green-top (sodium heparin) tube

Green-top (heparin) tube

Green-top (sodium heparin) tube

Collection Instructions

Using sterile technique, collect 5 mL of blood into a green-top (sodium heparin) tube or syringe. Invert the tub several times to prevent coagulation. Specimens should be sent the same day as collected. Use of improper anticoagulant and/or frozen specimen cannot be processed.

Using sterile technique, collect 10 mL blood into a green-top (heparin) tube or syringe. Invert the tube several times to prevent coagulation. Specimens must be sent the same day as collected and arrive in the laboratory within 48 hours of venipuncture.

Using sterile technique, collect 5 mL of blood into a green-top (sodium heparin) tube or syringe. Invert the tub several times to prevent coagulation. Specimens should be sent the same day as collected. Use of improper anticoagulant and/or frozen specimen cannot be processed.

Storage Instructions

Maintain specimen at room temperature. Specimen may be refrigerated if there is a delay in shipment. Do not freeze.

Causes for Rejection

Upon receipt, suitability of specimen will be determined by the Cytogenetics laboratory.

Hemolysis; clotted specimen; specimen more than 48 hours old; use of improper anticoagulant; frozen specimen

Upon receipt, suitability of specimen will be determined by the Cytogenetics laboratory.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
052045 Chromosome RFX to Microarray 62386-8 052302 Cells Counted 62361-1
052045 Chromosome RFX to Microarray 62386-8 052303 Cells Karyotyped 55199-4
052045 Chromosome RFX to Microarray 62386-8 052304 Cells Analyzed 62360-3
052045 Chromosome RFX to Microarray 62386-8 052305 GTG Band Resolution Achieved 62358-7
052045 Chromosome RFX to Microarray 62386-8 052306 Cytogenetic Diagnosis 62356-1
052045 Chromosome RFX to Microarray 62386-8 052014 Cytogenetic Interpretation 62357-9
052045 Chromosome RFX to Microarray 62386-8 052308 Specimen Type 48002-0
052045 Chromosome RFX to Microarray 62386-8 052015 Director Review: 48672-0
052045 Chromosome RFX to Microarray 62386-8 052310 Reflex N/A
052045 Chromosome RFX to Microarray 62386-8 512123 PDF 11502-2
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052302
Result Code NameCells Counted
UofM
Result LOINC62361-1
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052303
Result Code NameCells Karyotyped
UofM
Result LOINC55199-4
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052304
Result Code NameCells Analyzed
UofM
Result LOINC62360-3
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052305
Result Code NameGTG Band Resolution Achieved
UofM
Result LOINC62358-7
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052306
Result Code NameCytogenetic Diagnosis
UofM
Result LOINC62356-1
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052014
Result Code NameCytogenetic Interpretation
UofM
Result LOINC62357-9
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052308
Result Code NameSpecimen Type
UofM
Result LOINC48002-0
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052015
Result Code NameDirector Review:
UofM
Result LOINC48672-0
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code052310
Result Code NameReflex
UofM
Result LOINCN/A
Order Code052045
Order Code NameChromosome RFX to Microarray
Order Loinc62386-8
Result Code512123
Result Code NamePDF
UofM
Result LOINC11502-2
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 052311 Chromosome Microarray (CMA) 052313 Specimen Type 31208-2
Reflex 1
Order Code052311
Order NameChromosome Microarray (CMA)
Result Code052313
Result NameSpecimen Type
UofM
Result LOINC31208-2
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 052311 Chromosome Microarray (CMA) 052314 # of Genotyping Targets N/A
Reflex 1
Order Code052311
Order NameChromosome Microarray (CMA)
Result Code052314
Result Name# of Genotyping Targets
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 052311 Chromosome Microarray (CMA) 052315 Array Type N/A
Reflex 1
Order Code052311
Order NameChromosome Microarray (CMA)
Result Code052315
Result NameArray Type
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 052311 Chromosome Microarray (CMA) 052317 Diagnosis 62357-9
Reflex 1
Order Code052311
Order NameChromosome Microarray (CMA)
Result Code052317
Result NameDiagnosis
UofM
Result LOINC62357-9
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 052311 Chromosome Microarray (CMA) 052322 Interpretation 62365-2
Reflex 1
Order Code052311
Order NameChromosome Microarray (CMA)
Result Code052322
Result NameInterpretation
UofM
Result LOINC62365-2
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 052311 Chromosome Microarray (CMA) 052319 Director Review: 48672-0
Reflex 1
Order Code052311
Order NameChromosome Microarray (CMA)
Result Code052319
Result NameDirector Review:
UofM
Result LOINC48672-0
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 052311 Chromosome Microarray (CMA) 512123 PDF 11502-2
Reflex 1
Order Code052311
Order NameChromosome Microarray (CMA)
Result Code512123
Result NamePDF
UofM
Result LOINC11502-2