Spreadsheet: a90a58e5-2f43-4c56-99b5-ea7c1f732f77
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
CMS | Test | CMS | Chromosome Analysis, for Congenital Disorders, Blood | Chromosomes, Congenital, Blood | Includes 2 banded karyograms, analysis of 20 or more metaphases, and other techniques when required. | Green-Top Tube (Sodium Heparin): GrnNaHp |  |  | 5 | mL | Provide a reason for referral with each specimen. The laboratory will not reject testing if this information is not provided, but appropriate testing and interpretation may be compromised or delayed.   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.   Submit only 1 of the following specimens:   Specimen Type: Whole blood Container/Tube: Green top (sodium heparin) [NAME]: 5 mL Collection Instructions: 1. Invert several times to mix blood. 2. Other anticoagulants are not recommended and are harmful to the viability of the cells. 3. Label specimen as whole blood.   Specimen Type: Cord whole blood Container/Tube: Green top (sodium heparin) [NAME]: As much as possible Collection Instructions: 1. Invert several times to mix blood. 2. Other anticoagulants are not recommended and are harmful to the viability of the cells. 3. Label specimen as cord blood. | 2 mL | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | 46,XX or 46,XY. No apparent chromosome abnormality. An interpretive report will be provided. | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 10 days | 10 days |  | Profile |  |  |  |  | Rochester
CMS | [NAME] | WBNAH | WB Sodium Heparin |  |  |  | Ambient
CMS | Order Question | G_37 | Reason For Referral |  | Plain Text
CMS | Result | 16083 | [NAME] | [NAME] | Alphanumeric
CMS | Result | 16330 | [NAME] | [NAME] | Alphanumeric
CMS | Result | 16785 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
CMS | Result | 16084 | Order Date | Order Date | Alphanumeric
CMS | Result | G_37 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
CMS | Result | 16088 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9 | Reference lab test method:Type:XXX:Reference lab test:Nar:
CMS | Result | 50463 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 62359-5 | Chromosome banding method:Type:Pt:Bld/Tiss:Nom:Molgen
CMS | Result | 16090 | Results | Results | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35129-6 | Karyotype:Prid:Pt:[NAME]:Nom:
CMS | Result | 16091 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
CMS | Result | 16092 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35129-6 | Karyotype:Prid:Pt:[NAME]:Nom:
CMS | Result | 16093 | Consultant | Consultant | Alphanumeric
CMS | Result | 16094 | Report Date | Report Date | Alphanumeric
CMS | Billing Component | CMS |  | Unlisted Cytogenetic Study |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88299
CMS | Billing Component | CMS |  | Cytogenetic Interp/Report |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88291
CMS | Billing Component | CMS |  | Tissue Culture |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88230