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Test ID CHRCV Chromosome Analysis, Chorionic Villus Sampling

Useful For

Prenatal diagnosis of chromosome abnormalities, including aneuploidy (ie, trisomy or monosomy) and balanced rearrangements

 

This test is not appropriate as a first-tier test for detecting gains or losses of chromosomal material in pregnancies with 1 or more major structural abnormalities.

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
_ML15 Metaphases, <15 No, (Bill Only) No
_M15 Metaphases, 15 No, (Bill Only) No
_MG14 Metaphases, >15 No, (Bill Only) No
_KTG1 Karyotypes, >1 No, (Bill Only) No
_STAC Ag-Nor/CBL Stain No, (Bill Only) No

Testing Algorithm

This test is not appropriate as a first-tier test for detecting gains or losses of chromosomal material in pregnancies with 1 or more major structural abnormalities.

 

This test includes a charge for cell culture of fresh specimens and professional interpretation of results. Analysis charges will be incurred for total work performed, and generally include 2 banded karyograms and the analysis of 20 metaphase cells. If no metaphase cells are available for analysis, no analysis charges will be incurred. If additional analysis work is required, additional charges may be incurred.

Method Name

Cell Culture Followed by Chromosome Analysis

Reporting Name

Chromosomes, Chorionic Villus Samp

Specimen Type

Tissue


Ordering Guidance


This test should be performed for prenatal diagnostic purposes only. A chromosomal microarray (CMAP / Chromosomal Microarray, Prenatal, Amniotic Fluid/Chorionic Villus Sampling) is recommended, rather than chromosomal analysis, to detect clinically relevant gains or losses of chromosomal material in pregnancies with 1 or more major structural abnormalities. Chromosomal microarray can also be considered, rather than chromosome analysis, for patients undergoing invasive prenatal diagnostic testing with a structurally normal fetus.

 

Portions of the specimen may be used for other tests such as molecular genetic testing, biochemical testing, and fluorescence in situ hybridization (FISH) testing (including PADF / Prenatal Aneuploidy Detection, FISH). If additional molecular genetic or biochemical genetic testing is needed, order CULFB / Fibroblast Culture for Genetic Test so that cell cultures may be set up specifically for the use in these tests.



Shipping Instructions


Advise Express Mail or equivalent if not on courier service.



Necessary Information


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.



Specimen Required


Specimen Type: Chorionic villi

Supplies: CVS Media (RPMI) and Small Dish (T095)

Container/Tube: 15-mL tube containing 15 mL of transport media

Specimen Volume: 20-30 mg

Collection Instructions:

1. Collect chorionic villus specimen (CVS) by the transabdominal or transcervical method.

2. Transfer the CVS to a Petri dish containing transport medium (Such as CVS Media [RPMI] and Small Dish [T095]).

3. Using a stereomicroscope and sterile forceps, assess the quality and quantity of the villi and remove any blood clots and maternal decidua.

4. If ordering with PADF / Prenatal Aneuploidy Detection, FISH, submit a minimum of 14 mg.

5. If ordering with CMAP / Chromosomal Microarray, Prenatal, Amniotic Fluid/Chorionic Villus Sampling, submit a minimum of 24 mg.

6. If ordering with both PADF and CMAP, then submit a minimum of 26 mg.


Specimen Minimum Volume

The following is the minimum volume when only this test is ordered:
12 mg

Specimen Stability Information

Specimen Type Temperature Time Special Container
Tissue Refrigerated (preferred)
  Ambient 

Reference Values

An interpretive report will be provided.

Day(s) Performed

Monday through Friday

Report Available

9 to 14 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

88235, 88291-Tissue culture for amniotic fluid or chorionic villus cells, Interpretation and report

88267 w/modifier 52-Chromosome analysis, amniotic fluid or chorionic villus, <15 cells, 1 karyotype with banding (if appropriate)

88267-Chromosome analysis, amniotic fluid or chorionic villus, 15 cells, 1 karyotype with banding (if appropriate)

88267, 88285-Chromosome analysis, amniotic fluid or chorionic villus, <15 cells, 1 karyotype with banding (if appropriate)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
CHRCV Chromosomes, Chorionic Villus Samp 62350-4

 

Result ID Test Result Name Result LOINC Value
52319 Result Summary 50397-9
52321 Interpretation 69965-2
52320 Result 82939-0
CG769 Reason for Referral 42349-1
52322 Specimen 31208-2
52323 Source 31208-2
52325 Method 85069-3
52324 Banding Method 62359-5
54624 Additional Information 48767-8
52326 Released By 18771-6

NY State Approved

Yes

Forms

New York Clients-Informed consent is required. Document on the request form or electronic order that a copy is on file. The following documents are available:

-Informed Consent for Genetic Testing (T576)

-Informed Consent for Genetic Testing-Spanish (T826)

Genetics Test Information

Cultures from this specimen will be discarded 10 days after all cytogenetic test results have been reported. If further testing is desired, call the laboratory at 800-533-1710.