HLX CG Chromosome Analysis, Constitution
Test Catalog Information
| Test Catalog Synonyms |
Chromosome Analysis, Chorionic Villi (CVS) |
| EPIC Synonyms |
HLX CG Chromosome Analysis; Constitutional CASE HLX CA CA AMNIO CA CVS CA TISSUE CA BLOOD CA BL HR Karyotype Karyotype Chromosome Analysis, Products of Conception (POC) |
| Cerner Primary Mnemonic | HLX CG Chromosome Analysis; Constitutional CASE |
| EPIC Display Name | HLX CG Chromosome Analysis, Constitution |
| Allscripts (AEHR) Order Name | Chromosome Analysis Constitutional |
| Sunrise Clinical Manager (SCM) Order Name | Not Orderable |
| EPIC Inpatient Orderable | Yes |
| EPIC Outpatient Orderable | Yes |
| Cerner Results | |
| Clinical Info |
Diagnosis of chromosome abnormalities, including aneuploidy, structural abnormalities, and balanced rearrangements |
| Specimen Type |
Blood, Tissue, CVS/Amnio |
| Container |
Sterile container (prenatal, POC, and tissue specimens); Green-top (sodium heparin) tube(s) (peripheral/cord blood) |
| Collection Instructions |
Send to the laboratory ASAP at room temperature 20-25˚C. If there is a delay in transportation, store the sample in a refrigerator at 4˚C-. DO NOT FREEZE NOTE: Pertinent medical information including suspected diagnosis are required MINIMUM VOLUME: Amniotic Fluid: 20 mL in two sterile conical tubes Chorionic Villi: 5 - 10 mg in sterile saline or transport media Peripheral Blood: Adult 5-10 mL, Newborn 2-5mL in sodium heparin dark green tube. Invert the tube several times to prevent coagulation. Products of Conception (POC): Products of Conception (POC)-- 5-10 mg placental villi or 1 cm umbilical cord in sterile tube with sterile saline or transport media (RPMI). *Please contact the cytogenetics lab to order RPMI: NSUHCulturedCellRequest@northwell.edu |
| Transport Instructions |
Room Temperature |
| Specimen Stability |
48 hours room temperature If specimen cannot be sent promptly, refrigerate and send ASAP DO NOT FREEZE |
| Methodology | |
| Days Performed |
Monday through Saturday Turnaround Times: Chorionic Villi and Amniotic Fluid: 7 - 14 Days POC and Tissue: 14 - 28 Days Peripheral Blood: 10 - 14 Days |
| Performing Laboratory |
Northwell Health Laboratories |
| CPT |
CPT code varies by specimen type. Please see CPT code form attached below |
| PDM |
5160060, 5160080, 5160090, 5160130, 5160865 |
Desired Epic Build HLX CG Chromosome Analysis, Constitution
| Cerner Primary Mnemonic: | HLX CG Chromosome Analysis; Constitutional CASE |
| PDM | 5160090 |
| Informatics - Workgroup | Molecular-send outs |
| Synonyms * | HLX CG Chromosome Analysis; Constitutional CASE HLX CA CA AMNIO CA CVS CA TISSUE CA BLOOD CA BL HR Karyotype Karyotype Chromosome Analysis, Products of Conception (POC) |
| Display Name * | HLX CG Chromosome Analysis, Constitution |
| Order Entry Specimen Sources * | |
| Order Entry Specimen Types |
Aspirate
Swab
|
| Specimen Navigator Specimen Types | |
| Specimen Navigator Specimen Sources | |
| Specimen Navigator Short Name | |
| Ordering info (EPIC SmartText) | Diagnosis of chromosome abnormalities, including aneuploidy, structural abnormalities, and balanced rearrangements |
| IP Orderable | Yes |
| OP Orderable | Yes |
|
AOEs * | |
| AP AOEs | |
| Special History | No |
| Build Comments | |
| Filter * | |
| Procedure Category Change | |
| Cerner Results | |
Current Actual EPIC Build as of 10/28/2024
| Procedure Id | 115249 | ||||||||||||||||||
| Pdm | 5160090 | ||||||||||||||||||
| Order Display Name | Chromosome Analysis: Constitutional | ||||||||||||||||||
| Procedure Name | CYTOGENETICS | ||||||||||||||||||
| Procedure Master Number | LAB11456 | ||||||||||||||||||
| Short Procedure Name | HLX CG CHROMOSOME ANALYSIS; CONSTITUTION | ||||||||||||||||||
| Category Code | 15.0 | ||||||||||||||||||
| Category Code Record Name | LAB CYTOGENETICS ORDERABLES | ||||||||||||||||||
| Synonyms | |||||||||||||||||||
| Clinically Active | Yes | ||||||||||||||||||
| Orderable | Yes | ||||||||||||||||||
| Performable | Yes | ||||||||||||||||||
| Filter Genomics | Generic Genomics Procedure | ||||||||||||||||||
| Reference Link Url | https://labs.northwell.edu/epic/test/115249 | ||||||||||||||||||
| Ordering Instructions | |||||||||||||||||||
| Default Specimen Type | |||||||||||||||||||
| Specimen Type Pick List | Blood Amniotic Fluid Tissue Chorionic Villus Products of Conception | ||||||||||||||||||
| Specimen Type List | |||||||||||||||||||
| Op Specimen Type List | |||||||||||||||||||
| Specimen Source Pick List | Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous Amniotic Sac Placenta Product of Conception Abdominal Wall Alveoli Ankle, Left Ankle, Right Anus Arm, Left Arm, Right Autopsy Axilla, Left Axilla, Right Back, Lower Back, Upper Brain, Amygdala Brain, Basal Ganglia Brain, Cerebellum Brain, Cerebral Cortex Brain, Hypothalamus Brain, Medulla Brain, Pons Breast, Left Breast, Left Central Breast, Right Breast, Right Central Buttock, Left Buttock, Right Cervix Cheek Chest, Left Chest, Right Chin Diaphragm Ear, Left Ear, Right Elbow, Right Elbow, Left Esophagus Eye, Left Eye, Right Fallopian Tube, Right Fallopian Tube, Left Fetus Foot, Left Foot, Right Forearm, Left Forearm, Right Forehead Foreskin Gallbladder Hand, Digit Left Hand, Digit Right Hand, Left Hand, Right Heart Hip, Left Hip, Right Kidney, Left Kidney, Right Knee, Left Knee, Right Appendix Colon, Cecum Large Intestine, Left/Descending Colon Large Intestine, Rectum Ascend Colon Sigmoid Colon Transverse Colon Larynx Leg, Left Leg, Right Lip, Lower Lip, Upper Liver Lung, Left Lower Lobe Lung, Left Upper Lobe Lung, Right Lower Lobe Lung, Right Middle Lobe Lung, Right Upper Lobe Mediastinum Meninges/Dura Naris, Left Naris, Right Nasal/Nasopharynx Neck Nose Oral Cavity Oropharynx Ostomy Pouch Misc Ovary, Left Ovary, Right Pancreas Penis Pericardium Placenta Prostate Retroperitoneum Scalp Scrotum Shoulder, Left Shoulder, Right Small Intestine, Duodenum Small Intestine, Ileum Small Intestine, Jejunum Spinal Cord Spine, Cervical Spine, Lumbar Sacral Thoracic Spleen Stomach Sympathetic Ganglion Testicular Appendage Testis, Left Testis, Right Throat Thymus Toe, Left Toe, Right Tongue Trachea Blood, Cord Ureter, Left Ureter, Right Urethra Bladder Uterus Vagina Vas Deferens, Left Vas Deferens, Right Vulva Wrist, Left Wrist, Right | ||||||||||||||||||
| Specimen Source Default - Male | |||||||||||||||||||
| Specimen Source Default - Female | |||||||||||||||||||
| Specimen Source List | |||||||||||||||||||
| Op Specimen Source List | |||||||||||||||||||
| Ip Lab Test Components For Report | HLXCROMFR | ||||||||||||||||||
| Op Lab Test Components For Report | HLXCROMFR | ||||||||||||||||||
| Order Questions | ["3048500059", "3048500000"] | ||||||||||||||||||
| Order Questions Record Name | NH IP MOSAICISM STUDY | ||||||||||||||||||
| Inpatient Order Questions | ["3048500059", "3048500000"] | ||||||||||||||||||
| Inpatient Order Questions Record Name | NH IP MOSAICISM STUDY | ||||||||||||||||||
| Order Specific Question Override | |||||||||||||||||||
| Inpatient Question Override | |||||||||||||||||||
| Location Restrict List Ip | |||||||||||||||||||
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| Location Restrict List Include Ip | |||||||||||||||||||
| Location Restrict List Op | |||||||||||||||||||
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| Location Restrict List Includes Op | |||||||||||||||||||
| Edp Amb Order Specific Questions Record Name | NH IP PATIENT COMPLETED CONSENT | ||||||||||||||||||
| Edp Ip Order Specific Questions Record Name | NH IP PATIENT COMPLETED CONSENT | ||||||||||||||||||
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| Ip Orderable | 1 | ||||||||||||||||||
| Op Orderable | 1 | ||||||||||||||||||
EPIC OP AOEs
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EPIC IP AOEs
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