Chromosome Analysis, Tissue Biopsies (Products of Conception, Skin)

CPT Contact CPT coding department at 800-222-7566, ext 6-8400.
Synonyms
  • Long-term Culture, Fibroblast Karyotype Study
  • Placental Tissue Chromosome Analysis
  • Spontaneous Abortion Chromosome Analysis
  • Tissue Karyotype

Test Details

Use

Evaluate possible chromosomal abnormalities as the cause of miscarriage. Extended study of mosaicism found in blood chromosome analysis.

Special Instructions

Please include clinical information, previous cytogenetic report, or karyotype.

If prior NIPT studies have been performed, include copy of the report.

Call 800-345-4363, if there any any questions. FISH from paraffin blocks can be ordered on fixed specimen with Fluorescence in situ Hybridization (FISH), Paraffin Block [510825].

Test Includes

20 Metaphases counted per study; 2 to 3 banded karyotypes per study

Limitations

Some products of conception may only contain maternal tissue.

Methodology

Tissue culture following enzymatic digestion of tissue. Standard harvesting and G-banding procedures are used with 20 metaphases examined and two karyotypes prepared.

Specimen Requirements

Information on collection, storage, and volume

Specimen

Tissue, skin, products of conception, placental biopsy

Volume

2 to 4 mm³

Container

Sterile container with sterile Ringer's lactate or Hanks' balanced salt solution or transport medium provided by the cytogenetics laboratory. Do not use urine containers for shipping.

Storage Instructions

Refrigerate. Do not freeze.

Causes for Rejection

Gross contamination; necrotic tissue; specimen in fixative

Collection

Aseptically obtain a small piece of tissue with subepidermal layers. Best results are obtained from placental villi, which remain viable much longer than fetal tissue. This is especially true in stillborn cases in which both cord blood and tissue samples are often not viable. If specimen is a product of conception, submit biopsies in a sterile tube with sterile Ringer's lactate, Hanks' basal salt solution, or LabCorp transport medium.