Karyotyping & FISH for Aneuploidy Screen (13,18,21, X, Y Probes)
| Test Code | FFB03C |
|---|---|
| Test Summary | Karyotyping - Provides holistic picture of the 23 pairs of chromosome allowing simultaneous examination of all chromosomes. Fluorescence in situ hybridization (FISH) is performed for aneuploidy detection of chromosomes X, Y, 13, 18, and 21. |
| Turn Around Time | 15 days |
| Acceptable Sample Types | Fetal Blood |
| NY Approved | No |
| Accreditations | CAP , ISO 15189 (NABL) |
**The CPT codes listed are in accordance with Current Procedural Terminology, a publication of the American Medical Association, and are provided for informational purposes only. CPT coding is the sole responsibility of the billing party.
This testing service has not been cleared or approved by the U.S. Food and Drug Administration. Testing services may not be licensed in accordance with the laws in all countries. The availability of specific test offerings is dependent upon laboratory location.
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Test Description
A karyotype test is a type of genetic testing. It looks at the size, shape, and number of chromosomes in a sample of cells from your body. Chromosomes are found in the cell nucleus, which is like the command center of a cell. Chromosomes contain your genes. Genes carry information, called DNA, that controls what you look like and how your body works. You inherit your chromosomes from your parents. Normally, all your cells (except for egg and sperm cells) have a set of the same 46 chromosomes. The chromosomes are grouped into 23 pairs. Each pair has two chromosomes, one coming from each parent. You may develop certain genetic disorders if your cells:
- Are missing whole chromosomes or pieces of chromosomes
- Have extra chromosomes or extra pieces of chromosomes
FISH - Rapid detection of aneuploidy involving chromosomes X, Y, 13, 18, and 21. Assay offered in conjunction with chromosome study.
Indications for Testing
Karyotyping
- Abnormal fetal ultrasound and presenceof soft markers like hypoplastic nasal bone, Increased NT, Echogenic bowel etc.
- Maternal serum screening positive for chromosome aneuploidies
- NIPT positive for chromosome aneuploidies
- Parental chromosomal rearrangement or mosaicism
- Previous history of recurrent miscarriages
- Previous fetus/baby with chromosoma abnormality
FISH
The FISH analysis does not detect structural chromosome abnormalities, mosaicism, and other numerical chromosome abnormalities (excluding X, Y, 13, 18, and 21). The American College of Medical Genetics recommends that irreversible therapeutic action should not be initiated on the basis of FISH results alone.
Condition Description
Karyoytyping
A karyotype test looks for unusual changes in chromosomes. It may be used to:
- Check an unborn baby for chromosome problems
- Check you and/or your family members for specific chromosome problems if you:
- Have a genetic disorder that runs in your family
- Have symptoms that may be from a genetic disorder
- Find out if abnormal chromosomes are causing problems having children, including:
- Male or female infertility
- Miscarriages, if you have lost two or more pregnancies before 20 weeks
- Stillbirth
- Help diagnose and/or make treatment decisions for certain types of cancer and blood disorders
FISH
- Screening result suggests aneuploidy
- Advanced maternal age
- One major or at least two minor fetal structural defects found on ultrasound
- Previous fetus or child with aneuploidy
- Parent of this pregnancy has a structural chromosome abnormality (e.g.,translocation, inversion) involving chromosome 21, 13, 18, X, or Y
- Parent of this pregnancy has an extra chromosome (e.g., Down syndrome, XXX syndrome, Klinefelter syndrome)
Test Methods and Limitations
Karyotyping - Chromosomal Analysis / Light Microscopy
FISH - Fluorescence in situ hybridization (FISH) Fluorescence Microscopy