Spreadsheet: feffda96-6beb-49d9-8521-f19a08fc8f3a
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
FCGHP | Test | FCGHP | [NAME] (aCGH) Parental Testing, FISH | aCGH Parental Testing, FISH | Fluorescence In Situ Hybridization (FISH) | [NAME]: NaHp |  |  | 4 | mL | If possible, provide the name of the child on the request form.   Container/Tube: Green top (sodium heparin) [NAME]: 4 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. | 1 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 8am-5pm CST | 9 days | 10 days |  | Profile |  |  |  |  | Rochester
FCGHP | [NAME] | WBNAH | WB Sodium Heparin |  |  |  | Ambient
FCGHP | Order Question | [NAME] | Reason For Referral |  | Plain Text
FCGHP | Result | 50990 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
FCGHP | Result | 50991 | [NAME] | [NAME] | Alphanumeric
FCGHP | Result | 50992 | Source | Source | Alphanumeric
FCGHP | Result | 50993 | Order Date | Order Date | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FCGHP | Result | [NAME] | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1
FCGHP | Result | 50995 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FCGHP | Result | 50996 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FCGHP | Result | 50997 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
FCGHP | Result | 50998 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FCGHP | Result | 50999 | Reviewed by | Reviewed by | Alphanumeric
FCGHP | Result | 51000 | Release Date | Release Date | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FCGHP | Billing Component | FCGHP |  | Interpretation and Report |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88291
FCGHP | Billing Component | FCGHP |  | Chromosomal in situ hybridization |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88273
FCGHP | Billing Component | FCGHP |  | DNA probe, each |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 | 88271
FCGHP | [NAME] | ADD1F | One Additional FISH Probe | One Additional FISH Probe |  | Varies: Var |  |  |  | Varies | Only to be ordered by internal pathology clients. |  |  |  | Samples processed Monday through Sunday.  Results reported Monday through Friday 8am-5pm CST |  |  |  | Profile |  |  | No | No
ADD1F | [NAME] | VARIES | Varies |  |  |  | Ambient
ADD1F | Result | 22385 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
ADD1F | Result | 22386 | [NAME] | [NAME] | Alphanumeric
ADD1F | Result | 22387 | Source | Source | Alphanumeric
ADD1F | Result | 22388 | Order Date | Order Date | Alphanumeric
ADD1F | Result | 22389 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
ADD1F | Result | 22390 | Results | Results | Alphanumeric
ADD1F | Result | 22391 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
ADD1F | Result | 22392 | Amendment | Amendment | Alphanumeric
ADD1F | Result | 22393 | Consultant | Consultant | Alphanumeric
ADD1F | Result | 22394 | Report Date | Report Date | Alphanumeric
FCGHP | [NAME] | ADD2F | Two Additional FISH Probes | Two Additional FISH Probes | Fluorescence In Situ Hybridization (FISH) | Varies: Var |  |  |  | Varies | Only to be ordered by internal pathology clients. Note:	An "Informed Consent for DNA Testing" (Supply T576) is 	available. See Special Instructions for a copy of the form. |  |  |  | Samples processed Monday through Sunday.  Results reported Monday through Friday 8am-5pm CST |  |  |  | Profile |  |  | No | No
ADD2F | [NAME] | VARIES | Varies |  |  |  | Ambient
ADD2F | Result | 22395 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
ADD2F | Result | 22396 | [NAME] | [NAME] | Alphanumeric
ADD2F | Result | 22397 | Source | Source | Alphanumeric
ADD2F | Result | 22398 | Order Date | Order Date | Alphanumeric
ADD2F | Result | 22399 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
ADD2F | Result | 22400 | Results | Results | Alphanumeric
ADD2F | Result | 22401 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
ADD2F | Result | 22402 | Amendment | Amendment | Alphanumeric
ADD2F | Result | 22403 | Consultant | Consultant | Alphanumeric
ADD2F | Result | 22404 | Report Date | Report Date | Alphanumeric
FCGHP | [NAME] | ADD4F | Four Additional FISH Probes | Four Additional FISH Probes | Fluorescence In Situ Hybridization (FISH) | Varies: Var |  |  |  | Varies | Only to be ordered by internal pathology clients. |  |  |  | Samples processed Monday through Sunday.  Results reported Monday through Friday 8am-5pm CST |  |  |  | Profile |  |  | No | No
ADD4F | [NAME] | VARIES | Varies |  |  |  | Ambient
ADD4F | Result | 22405 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
ADD4F | Result | 22406 | [NAME] | [NAME] | Alphanumeric
ADD4F | Result | 22407 | Source | Source | Alphanumeric
ADD4F | Result | 22408 | Order Date | Order Date | Alphanumeric
ADD4F | Result | 22409 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
ADD4F | Result | 22410 | Results | Results | Alphanumeric
ADD4F | Result | 22411 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
ADD4F | Result | 22412 | Amendment | Amendment | Alphanumeric
ADD4F | Result | 22413 | Consultant | Consultant | Alphanumeric
ADD4F | Result | 22414 | Report Date | Report Date | Alphanumeric
FCGHP | [NAME] | ADD3F | Three Additional FISH Probes | Three Additional FISH Probes | Fluorescence In Situ Hybridization (FISH) |  |  |  |  |  | For Billing and Work Load Recording use only |  |  |  | Samples processed Monday through Sunday.  Results reported Monday through Friday 8am-5pm CST |  |  |  | Profile |  |  | No | No
ADD3F | [NAME] | VARIES | Varies |  |  |  | Ambient
ADD3F | Result | 23074 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
ADD3F | Result | 23075 | [NAME] | [NAME] | Alphanumeric
ADD3F | Result | 23076 | Source | Source | Alphanumeric
ADD3F | Result | 23077 | Order Date | Order Date | Alphanumeric
ADD3F | Result | 23078 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
ADD3F | Result | 23079 | Results | Results | Alphanumeric
ADD3F | Result | 23080 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
ADD3F | Result | 23081 | Amendment | Amendment | Alphanumeric
ADD3F | Result | 23082 | Consultant | Consultant | Alphanumeric
ADD3F | Result | 23083 | Report Date | Report Date | Alphanumeric