157 CLIA Number: 05D2097680 California State License CLF260 CAP Number: 9277593 Ship To: Department of Pathology and Laboratory Medicine Children s Hospital Los Angeles 4650 Sunset Blvd. Duque Bldg., 2nd Floor, Room 2-290 Los Angeles, CA 90027 CHROMOSOMAL MICROARRAY-ONCOLOGY REQUISITION All information must be completed before sample can be processed. PATIENT INFORMATION ACCOUNT INFORMATION Contract Account Name: - First Nam.
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How to fill out the CA CHLA Chromosomal Microarray-Oncology Requisition online
This guide provides step-by-step instructions for users to effectively complete the CA CHLA Chromosomal Microarray-Oncology Requisition online. Ensuring accurate completion of this form is vital for processing samples efficiently.
Follow the steps to accurately complete the requisition form.
- Press the ‘Get Form’ button to access the CA CHLA Chromosomal Microarray-Oncology Requisition and open it in your preferred form editor.
- Fill in the patient information section accurately. Provide the account name, patient’s first name, last name, middle initial, date of birth (MM/DD/YYYY), and contact information. Select the appropriate ancestry and gender from the provided options.
- In the clinical information section, specify the clinical diagnosis or indication for the test. Ensure to choose the Chromosomal Microarray-Oncology test option to proceed.
- Complete the sample information section. Record the date of collection, time collected, contact phone number, and name of the individual who collected the sample. Additionally, document the sample ID number(s) for tracking.
- Check the checklist of information required for testing. Ensure that you have included the test requisition form and the pathology report as stated.
- Select the sample type from the options provided. Fill in details related to the sample type selected, such as source and percentage of tumor in the sample where applicable.
- If needed, complete the internal use only section, including the date and time received by the laboratory, as well as the technician’s name.
- Review all completed sections of the form for accuracy. Save changes made, and if finished, download, print, or share the completed requisition form as required.
Complete your documents online today to ensure timely processing of your samples.
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What can a chromosomal microarray tell you?
What does chromosomal microarray detect? Chromosomal microarray (CMA) testing looks for extra (duplicated) or missing (deleted) chromosomal segments, sometimes called copy number variants (CNVs).
How accurate is chromosomal microarray?
CMA is 100% accurate in identifying the common aneuploidies in prenatal specimens compared to karyotype (2, 16, 17) and in the NICHD study, it demonstrated an increased diagnostic yield over standard karyotyping of 1.7% in patients referred for advanced maternal, parental anxiety and positive serum screening (2).
What does a chromosomal microarray test for?
What does chromosomal microarray detect? Chromosomal microarray (CMA) testing looks for extra (duplicated) or missing (deleted) chromosomal segments, sometimes called copy number variants (CNVs).
How long does the chromosomal microarray test take?
This test compares the patient's sample to a normal control sample to find very small missing or extra chromosome pieces that cannot be seen under a microscope. The test does not show structural changes in chromosomes. It can take up to 4 weeks to get the test results.
How long does it take to get genetic testing results back?
Most tests are returned within 2-3 weeks, but some may take up to 8 weeks. Your genetic counselor will review this with you during your appointment. How will I get my results? Learning genetic test results can bring up emotions for some people; therefore how you learn the results is up to you.
How long does a microarray test take to come back?
How long will the test take? Results of a microarray test will usually be back with your doctor or genetic counsellor in 6-8 weeks, but sometimes it can take longer than this to interpret the results.
What is the CPT for chromosomal microarray?
LOINC® Codes, Performing Laboratory If Chromosome Analysis result is "Tissue has no growth", then Chromosomal Microarray, POC, ClariSure® Oligo-SNP will be performed at an additional charge (CPT code(s): 81229).
How much does chromosomal microarray cost?
CMA costs more (≈ $1500) but is worth the greater expense because of its greater diagnostic yield (Audio). CMA's greater potential for making a genetic diagnosis may yield more information that is actionable for medical management.
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