Products of Conception Chromosome Analysis with Reflex SNP Array




Test Mnemonic

POCHF

CPT Codes

  • 88233 - QTY (1)
  • 88262 - QTY (1)
  • 81229 - QTY (1)

Aliases

  • Chromosome Analysis
  • Products of Conception
  • SNP Array

Performing Laboratory

Cleveland Clinic Laboratories


Specimen Requirements

Volume Type Container Collect Temperature Transport Temperature Special Instructions
10 mm squareProducts of conception (POC)Sterile containerAmbientAmbientFresh tissue sample from the fetus, placenta, umbilical cord, amniotic membrane and chorionic membrane are accepted. Do not expose to formalin or other fixatives. Do not freeze. Place specimen in a sterile container containing RPMI, Hank's solution or sterile saline. Keep at room temperature; may refrigerate if specimen must be held overnight. Transport to the laboratory as soon as possible to ensure cell viability.

Stability

Environmental Condition Description
AmbientPreferred
RefrigeratedAcceptable
FrozenUnacceptable

Days Performed

7 days a week

Turnaround Time

28 - 30 days

Methodology

Name Description
Comparative genomic hybridization-oligo based 
Culture Karyotyping Microscopy 

Special Info

Upon receipt in the lab, a tissue sample will be frozen. In the event of cell culture failure, this sample will be used to isolate DNA and perform chromosomal oligonucleotide and SNP based microarray. Long-standing fetal demise, delayed specimen transport and improper handling can increase the risk of tissue culture failure, which leads to no chromosome result. Upon receipt in the lab, a tissue sample will be frozen. In the event of cell culture failure, this sample will be used to isolate DNA and perform chromosomal oligonucleotide and SNP based microarray. If chromosome analysis/karyotype cannot be performed due to cell culture failure, there will be no charge for that test (CPT codes 88233, 88262, 88291). Instead, there will be charge for microarray (CPT code 81229).

Clinical Info

Evaluate the cause of miscarriage.