#ExistRefRangeSet>
Reference Interval:
#ExistRefRange>By report
*ExistRefRange>
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*ExistRefRangeSet>
#ExistInterpDataSet>
| Interpretive Data: |
#ExistInterpData>
Please refer to Statement C in the Compliance Statements section in the front of the Laboratory Test Directory.
*ExistInterpData>
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*ExistInterpDataSet>
#ExistNote>
| Note: |
Fluorescence in situ Hybridization panel is performed for CLL prognosis specific genomic abnormalities as follows: ATM, D13S25, Trisomy 12, p53
This test must be ordered using a Cytogenetic test request form 43099 or through your ARUP interface. Please submit the Patient History Form - Chromosome Studies with the Electronic Packing list. The form is available on ARUP's Web site, http://www.aruplab.com/home/consent_forms.jsp.
A processing fee will be charged if this procedure is canceled at the client's request, after the test has been set up, or if the sample integrity is inadequate to allow culture growth.
RB1 has been removed.
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*ExistNote>
#ExistCPT>
| CPT Code(s): |
88271 x4 DNA probe each; 88275 x4 Chromosomal in situ hybridization 100-300 cells each; 88291 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.
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*ExistCPT>
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