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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

FISH, Tissue

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. FISH, Tissue  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LAB4754
Specimen Type:
Touch prep slides from fresh tissue.
Cause for Rejection:
Formalin fixed tissue.
Storage:
Refrigerated
Availability:
Mon-Fri (0700-1600) Sun (0900-1300)
Methodology:
Fluorescent in situ hybridization. Images are captured digitally using image analysis software.
Special Instructions:
Include all pertinent medical findings with suspected diagnosis and/or indication(s) for testing.
Lab/Phone:
330-543-8483
TAT:
10 Days
Additional Info:

Available FISH Probes:

 EWSR1 (22q12)
 N-MYC (2p24.1)
 ALK (2p.23)

CPT Code:

88271 (DNA probe, each)
88275 (Interphase in situ hybridization, 100 to 300 cells, each)
88291 (Interpretation and Report)

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