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Test ID: POC
Chromosome Analysis, Autopsy, Products of Conception, or Stillbirth

List Fee Provides the Mayo Medical Laboratories list fee for performing the test

$1391.80

If appropriate, this test will be resulted at no charge as "Unable to establish fibroblast culture."

The following test(s) may be added per the testing algorithm:

$988.70 for #29924 "Aneuploidy Detection, Products of Conception  (POC), FISH"

Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.

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

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

88233-Tissue culture for chromosome analysis

88261-Chromosome analysis; count 5 cells, 1 karyotype, with banding (if appropriate)

88262-Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding (if appropriate)

88264-Analyze 20-25 cells (if appropriate)

88280-Chromosome analysis; additional karyotypes, each study (if appropriate)

88285-Additional cells counted, each study (if appropriate)

88291-Interpretation and report

88299-Unlisted cytogenetic study