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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Microdeletion Analysis by DNA FISH

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. Microdeletion Analysis by DNA FISH  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test Workstation :
CYTO
Specimen Type:
Amniotic fluid, Blood, Bone Marrow, Fetal, Tissue, Tumor
Cause for Rejection:
Clotted, nonsterile, or frozen specimen
Storage:
Ambient
Availability:
Mon-Fri (0700-1600) Sat (0900-1300)
Methodology:
Cultured cells are fixed to slides, hybridized overnight to the appropriate DNA probe(s), washed, and counterstained. 10 cells are analyzed using a fluorescence microscope and the images are captured digitally using image analysis software.
Special Instructions:
Include pertinent medical findings on the requisition with suspected diagnosis and/or indication(s) for the testing. Typically must be ordered with chromosome analysis.
Lab/Phone:
330-543-8483
TAT:
24 hours-14 days
CPT Code:
88271 (each probe), 88273, 88291
Synonyms:
FISH; Fluorescent in situ hybridization

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