Test Directory
| Test Code | ||
| NIPTQ | ||
| Test Name | ||
| Noninvasive Prenatal Aneuploidy Screening with 22q11.2 Microdeletion | ||
| CPT Codes | ||
| 81420, 81422 | ||
| Included Tests | ||
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Noninvasive Prenatal Screening for trisomy 13, 18, 21, 22q11.2 microdeletion and optional fetal sex detection. |
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| Expected Turnaround Time | ||
| 4-6 days | ||
| Clinical Utility | ||
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Noninvasive prenatal screening for trisomy 13, 18, 21 and optional sex chromosome aneuploidies. Recommended by ACOG for any pregnant woman, particularly those with a high-risk pregnancy. Noninvasive prenatal screening to identify 22q11.2 deletion syndrome, also known as DiGeorge syndrome. Early detection allows for immediate intervention, specialized care, and prenatal management of issues like congenital heart defects, immunodeficiency, hypocalcemia, and developmental delays. |
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| Specimen and Container Info | ||
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Specimen: Whole Blood Collection Container: Streck Cell-Free BCT Specimen Volume: 7-10 mL |
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| Collection Instructions | ||
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| Transport Instructions | ||
| Transport at room temperature. Do not freeze or expose to extreme temperatures. | ||
| Stability Requirements | ||
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| Causes for Rejection | ||
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| Methodology | ||
| Next Generation Sequencing of Cell-Free DNA | ||
| Performing Location | ||
| Genomics - Snowdrift | ||
| Alternate Names | ||
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| Description | ||
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Noninvasive prenatal screening using cell-free DNA testing is currently the most sensitive and specific screening test for common fetal aneuploidies involving chromosomes 21, 18, 13, X, and Y, as well as 22q11.2 microdeletion. This test can be completed as early as 10 weeks gestational age. NIPS can provide expecting mothers the knowledge needed to make medical decisions regarding pregnancy, including the decision to pursue more invasive testing methods. NIPS is the best option for expecting patients to predict the likelihood of certain chromosome aneuploidies such as Down syndrome (trisomy 21), Edwards syndrome (trisomy 18), and Patau syndrome (trisomy 13), and sex chromosome aneuploidies. NIPS can also predict the likelihood of 22q microdeletion syndrome, a condition caused by a small missing piece on chromosome 22. NIPS is now endorsed by the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine for all patients, regardless of maternal age. This test is suitable for singleton pregnancies and IVF with egg donor pregnancies (singleton). |
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| Testing Schedule | ||
| Routine, at least twice per week | ||
The American Medical Association (AMA) Current Procedural Terminology (CPT) codes published by HNL Lab Medicine are guidelines and are intended for informational purposes only. CPT coding is the exclusive responsibility of the billing entity. View the Terms.
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