Spreadsheet: 1f778be5-1361-402d-830c-dddda09c154d
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
SBK | Test | SBK | Chromosome Analysis, Spontaneous Breakage Analysis, Blood | Chromosomes, Spontaneous Breakage | 72-Hour Culture with Phytohemagglutinin | Green-Top Tube (Sodium Heparin): GrnNaHp |  |  |  |  | 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]: 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. Additional Information: Advise Express Mail or equivalent if not on courier service. Forms: If not ordering electronically, submit a Cytogenetics/AFP Congenital Disorders Request Form (Supply T238) with the specimen. | 2 mL | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	Clotted blood | An interpretive report will be provided. | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 7 days | 8 days |  | Profile |  |  |  |  | Rochester
SBK | [NAME] | WBNAH | WB Sodium Heparin |  |  |  | Ambient
SBK | Order Question | CG370 | Reason for Referral |  | Plain Text
SBK | Result | 29996 | [NAME] | [NAME] | Alphanumeric
SBK | Result | 29997 | [NAME] | [NAME] | Alphanumeric
SBK | Result | 29998 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
SBK | Result | 29999 | Order Date | Order Date | Alphanumeric
SBK | Result | CG370 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
SBK | Result | 30010 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9 | Reference lab test method:Type:XXX:Reference lab test:Nar:
SBK | Result | 50473 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 62359-5 | Chromosome banding method:Type:Pt:Bld/Tiss:Nom:Molgen
SBK | Result | 30015 | Results | Results | Alphanumeric
SBK | Result | 30019 | Interpretaton | Interpretaton | Alphanumeric
SBK | Result | 30020 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
SBK | Result | 30021 | Reviewed By | Reviewed By | Alphanumeric
SBK | Result | 30022 | Release Date | Release Date | Alphanumeric
SBK | Billing Component | SBK |  | Ctyo & Molec Cyto Interp & Report |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88291
SBK | Billing Component | SBK |  | Chromosome Analysis Breakage Syndromes |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88248
SBK | Billing Component | SBK |  | Tissue Culture |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88230