Spreadsheet: c04b1ab1-145f-45b1-a4f2-9680752be023
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
SMART | Test | SMART | Mayo Stratification for Myeloma and Risk-Adapted Therapy Report | mSMART Evaluation, Marrow | MBM: Includes 2 banded karyograms, analysis of 20 or more metaphases, and other techniques when required. FPCPD: Fluorescence In Situ Hybridization (FISH), Followed by [NAME] (cIg) Staining PCPRO: Flow Cytometry, DNA Cell Cycle Analysis |  |  |  |  |  | Provide a reason for referral and include disease state (untreated, treated, monoclonal gammopathy of undetermined significance, stable) 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.   PCPRO  [NAME] bone marrow Preferred: Yellow top (ACD solution B) Acceptable: EDTA, heparin [NAME]: 4 mL   Chromosome Analysis and PCPD FISH Testing  [NAME]: Redirected bone marrow Container/Tube: Green top (sodium heparin) [NAME]: 2 mL Additional Information: Other anticoagulants are not recommended and are harmful to the viability of the cells. Forms: If not ordering electronically, submit a Cytogenetics Hematologic Disorders Request Form (Supply T607) with the specimen. |  | Note: No specimen should be rejected. If specimen not received at appropriate temperature or in wrong anticoagulant, include note to laboratory. If questions, contact laboratory. | PCPRO  Estimated S-phase of >1.5% associated with more aggressive disease   CHROMOSOMES, mSMART EVALUATION 46,XX or 46,XY. No apparent chromosome abnormality. An interpretative report will be provided.   PLASMA CELL PROLIFRATIVE DISORDER (PCPD) An interpretative report will be provided. | Monday through Sunday | 10 days | 11days |  | Profile |  |  |  |  | Rochester
SMART | [NAME] | BNMARW | Bone Marrow |  |  |  | Ambient
SMART | Billing Component | SMART |  | Interpretation and Report |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88291
SMART | Billing Component | SMART |  | Cytogenetic Interp/Report |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88291
SMART | Billing Component | SMART |  | DNA Probe, each |  |  |  |  |  |  |  |  |  |  |  |  |  | 12 | 88271
SMART | Billing Component | SMART |  | Chromosome Analysis |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88264
SMART | Billing Component | SMART |  | Tissue Culture for Bone Marrow |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88237
SMART | Billing Component | SMART |  | Analyze 100-300 Cells |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 | 88275
SMART | Billing Component | SMART |  | Cryopreservation,freezing |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88240
SMART | Component | MBM | Chromosomes, mSMART Evaluation, Bone Marrow | Chromosomes, mSMART Eval, Marrow | Includes 2 banded karyograms, analysis of 20 or more metaphases, and other techniques when required. |  |  |  |  |  | Only orderable as part of a profile. For further information see #89537 "mSMART Report." | 2 mL |  | Only orderable as part of a profile. For further information see #89537 "mSMART Report." | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 10 days | 11 days |  | Profile |  |  | Yes | No
MBM | [NAME] | BNMARW | Bone Marrow |  |  |  | Ambient
MBM | Order Question | CG301 | Reason For Referral |  | Plain Text
MBM | Result | 50477 | [NAME] | [NAME] | Alphanumeric
MBM | Result | 50478 | [NAME] | [NAME] | Alphanumeric
MBM | Result | 50479 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
MBM | Result | 50490 | Order Date | Order Date | Alphanumeric
MBM | Result | CG301 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
MBM | Result | 50492 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9 | Reference lab test method:Type:XXX:Reference lab test:Nar:
MBM | Result | 50493 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 62359-5 | Chromosome banding method:Type:Pt:Bld/Tiss:Nom:Molgen
MBM | Result | 50553 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
MBM | Result | 50495 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Geneticist review:Imp:Pt:XXX:Nar:
MBM | Result | 50494 | MSMART Evaluation | MSMART Evaluation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
MBM | Result | 50496 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
MBM | Result | 50497 | Reviewed By | Reviewed By | Alphanumeric
MBM | Result | 50498 | Release Date | Release Date | Alphanumeric
SMART | Component | FPCPD | [NAME] Proliferative Disorder (PCPD), FISH | [NAME], FISH | Fluorescence In Situ Hybridization (FISH) Followed by [NAME] (cIg) Staining | Green-Top Tube (Sodium Heparin): GrnNaHp |  |  | 2 | 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.   Container/Tube: Green top (sodium heparin) [NAME]: 1-2 mL Collection Instructions: 1. Invert several times to mix bone marrow. 2. Other anticoagulants are not recommended and are harmful to the viability of the cells. 3. Advise Express Mail or equivalent if not on courier service.  Additional Information: Blood is acceptable. Forms:  1. Cytogenetics Hematologic FISH Panel Patient Information Sheet (Supply T603) in Special Instructions 2. If not ordering electronically, submit a Cytogenetics Hematologic Disorders Request Form (Supply T607) with the specimen. | 1 mL | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	Clotted bone marrow | 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 |  |  | Yes | Yes
FPCPD | [NAME] | BNMARW | Bone Marrow |  |  |  | Ambient
FPCPD | Order Question | G_569 | Reason For Referral |  | Plain Text
FPCPD | Result | 22613 | [NAME] | [NAME] | Alphanumeric
FPCPD | Result | 22614 | [NAME] | [NAME] | Alphanumeric
FPCPD | Result | 22615 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
FPCPD | Result | 22616 | Order Date | Order Date | Alphanumeric
FPCPD | Result | G_569 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
FPCPD | Result | 22618 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9 | Reference lab test method:Type:XXX:Reference lab test:Nar:
FPCPD | Result | 22619 | Results | Results | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FPCPD | Result | 22620 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Geneticist review:Imp:Pt:XXX:Nar:
FPCPD | Result | 22621 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FPCPD | Result | 22622 | Consultant | Consultant | Alphanumeric
FPCPD | Result | 22623 | Report Date | Report Date | Alphanumeric
SMART | [NAME] | PCPRO | [NAME], Bone Marrow | [NAME], Marrow | Flow Cytometry/DNA Content/Cell Cycle Analysis |  |  |  | 4 | mL | [NAME] bone marrow Preferred: Yellow top (ACD solution B) Acceptable: EDTA, heparin [NAME]: 4 mL Specimen Stability Information: <72 hours Additional Information: Include patient's disease state (untreated, treated, monoclonal gammopathy of undetermined significance, stable). Forms: If not ordering electronically, submit a Hematopathology/Molecular Oncology Request Form (Supply T241) with the specimen. | 2 mL | Hemolysis	Mild OK; Gross reject Thawing	NA Lipemia	NA Icterus	NA Other	Fully clotted or frozen specimen | [NAME]:  Normal bone marrow  No monotypic clonal plasma cells detected DNA Index:  Normal polytypic plasma cells  DNA index (G0/G1 cells): Diploid 0.95-1.05 | Specimens are processed Monday through Sunday and reported Monday through Friday. | 1 day | 4 days |  | Profile |  |  | Yes | Yes
PCPRO | [NAME] | BNMARW | Bone Marrow |  |  |  | Ambient
PCPRO | Result | [NAME] | Monotypic [NAME]: | Monotypic [NAME]: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
PCPRO | Result | CK057 | Monotypic PC per Total Events | Monotypic PC per Total Events | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
PCPRO | Result | CK058 | Monotypic [NAME]-phase | Monotypic [NAME]-phase | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
PCPRO | Result | CK059 | Monotypic [NAME] DNA Index | Monotypic [NAME] DNA Index | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
PCPRO | Result | CK060 | Monotypic [NAME] DNA Ploidy | Monotypic [NAME] DNA Ploidy | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
PCPRO | Result | CK061 | Polytypic PC per Total Events | Polytypic PC per Total Events | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
PCPRO | Result | CK062 | Polytypic PC per All Plasma Cells | Polytypic PC per All Plasma Cells | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
PCPRO | Result | [NAME] | Final Diagnosis | Final Diagnosis | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
PCPRO | Component | PCPRO |  | FLOWCYTOMETRY/TC ADD-ON |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 | 88185 |  |  | No | No
PCPRO | Component | PCPRO |  | FLOWCYTOMETRY/ TC 1 MARKER |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88184 |  |  | No | No
PCPRO | Component | PCPRO |  | CELL MARKER STUDY |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88182 |  |  | No | No
PCPRO | [NAME] | 88465 | Flow Cytometry Interpretation, 2 to 8 Markers ([NAME] Only) | Flow Cytometry Interp, 2-8 Markers |  |  |  |  |  |  | Only to be ordered by pathology consultant. This test is for billing purposes only. |  |  |  |  |  |  | 1 | 88187 |  |  | Yes | No ([NAME] Only)
88465 | Result | 88465 | Flow Cytometry Interp, 2-8 Markers | Flow Cytometry Interp, 2-8 Markers
SMART | [NAME] | 88465 | Flow Cytometry Interpretation, 2 to 8 Markers ([NAME] Only) | Flow Cytometry Interp, 2-8 Markers |  |  |  |  |  |  | Only to be ordered by pathology consultant. This test is for billing purposes only. |  |  |  |  |  |  | 1 | 88187 |  |  | Yes | No
88465 | Result | 88465 | Flow Cytometry Interp, 2-8 Markers | Flow Cytometry Interp, 2-8 Markers