Spreadsheet: 157c01f4-21be-410c-8e89-3eda939f8c85
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
FBUCC | Test | FBUCC | X and Y Aneuploidy Detection, Buccal Smear, FISH | X,Y Aneuploidy, Buccal Smear, FISH | Fluorescence In Situ Hybridization (FISH) | [NAME], sterile centrifuge tubes: ScwStlTb |  |  |  | Varies | Provide a reason for referral with each specimen. The laboratory will not delay or reject testing if this information is not provided, but appropriate testing and interpretation may be compromised.    Container/Tube: Buccal Smear Collection Kit (Supply T543) [NAME]: 2 Cyto-Pak brushes Collection Instructions: 1. Patient should rinse out mouth vigorously with mouthwash followed by water for approximately 15 seconds. Mouthwash is not a requirement but helps reduce the bacteria found in the mouth that may hinder testing. 2. Remove the Cyto-Pak brush from the container only touching the "stick" end. Save the container. 3. Using medium pressure, rotate the brush several times on the inside of the cheek. 4. Return brush to container and cap. 5. Repeat steps 2 through 4 on the other cheek using the second brush. 6. It is important that the patient's buccal cells are not contaminated with cells from any other source. Do not touch the bristles. Do not brush too vigorously. If blood appears, discard the brush and restart the collection process. 7. Label each container with patient's name and order number or hospital/clinic number. Additional Information: 1. Provide appropriate clinical information about the patient as per specific test requirements. 2. It is important that the cells do not dry out during shipping. Ensure that the container is tightly sealed. Forms: 1. New York Clients-Informed consent is required. Please document on the request form or electronic order that a copy is on file. An Informed Consent for Genetic Testing (Supply T576) is available in Special Instructions. 2. If not ordering electronically, submit a Cytogenetics/AFP Congenital Disorders Request Form (Supply T238) with the specimen. | 2 Cyto-Pak brushes | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | XX in females; XY in males | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 8 days | 9 days |  | Profile |  |  |  |  | Rochester
FBUCC | [NAME] | BUCSWAB | Buccal Swab |  |  |  | Ambient
FBUCC | Order Question | [NAME] | Reason For Referral |  | Plain Text
FBUCC | Result | 16071 | [NAME] | [NAME] | Alphanumeric
FBUCC | Result | 16329 | [NAME] | [NAME] | Alphanumeric
FBUCC | Result | 16784 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
FBUCC | Result | 16072 | Order Date | Order Date | Alphanumeric
FBUCC | Result | [NAME] | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
FBUCC | Result | 16076 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
FBUCC | Result | 16078 | Results | Results | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35129-6 | Karyotype:Prid:Pt:[NAME]:Nom:
FBUCC | Result | 16079 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
FBUCC | Result | 16080 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35129-6 | Karyotype:Prid:Pt:[NAME]:Nom:
FBUCC | Result | 16081 | Consultant | Consultant | Alphanumeric
FBUCC | Result | 16082 | Report Date | Report Date | Alphanumeric
FBUCC | Billing Component | FBUCC |  | Cytogenetic Interp/Report |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88291
FBUCC | Billing Component | FBUCC |  | Molecular Cyto, DNA Probe |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 | 88271
FBUCC | Billing Component | FBUCC |  | Interphase in Situ Hybrid |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 | 88275