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Test Code LAB000 - Enter Specimen type, Source, and Test Name Uniparental Disomy, Varies

Additional Codes

Mayo test code: UNIPD

Useful For

Evaluation of patients presenting with mosaicism, confined placental mosaicism, or Robertsonian translocations

 

Evaluation of patients presenting with features of disorders known to be associated with uniparental disomy (eg, Russell-Silver syndrome)

 

Evaluation of disease mechanism in individuals with rare autosomal recessive disease and only one carrier parent

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
CULFB Fibroblast Culture for Genetic Test Yes No
CULAF Amniotic Fluid Culture/Genetic Test Yes No

Testing Algorithm

Polymerase chain reaction amplification of microsatellite markers on the chromosome of interest are used to test DNA from the parents and the child for the presence of uniparental disomy.

 

For prenatal specimens only:

If an amniotic fluid specimen or cultured amniocytes is received, amniotic fluid culture for genetic testing will be performed at an additional charge.

If a chorionic villus specimen or cultured chorionic villi is received, fibroblast culture for a genetic test will be performed at an additional charge.

Method Name

Polymerase Chain Reaction (PCR)/Microsatellite markers

Reporting Name

Uniparental Disomy

Specimen Type

Varies


Ordering Guidance


This test is only intended to rule out whole-chromosome uniparental disomy (UPD). If testing is desired to rule out UPD 11 for Beckwith-Wiedemann syndrome or Russell-Silver syndrome, the recommended test is BWRS / Beckwith-Wiedemann Syndrome/Russell-Silver Syndrome, Molecular Analysis, Varies, as it will also detect cases caused by segmental UPD.



Shipping Instructions


Specimen preferred to arrive within 96 hours of collection.



Specimen Required


Specimens from both parents and the child or fetus are recommended for optimal interpretation of results. Each specimen must have a separate order for this test. Only the proband specimen will be charged.

Testing can be performed if only one parent specimen is submitted, however, biparental inheritance and some types of uniparental disomy (UPD) cannot be definitively established in the absence of one parent. Additionally, there is a higher likelihood for uninformative or inconclusive results. 

If all required specimens are not received within one month of ordering, testing will be canceled.

 

Patient Preparation: A previous bone marrow transplant from an allogenic donor will interfere with testing. For instructions for testing patients who have received a bone marrow transplant, call 800-533-1710.

 

Submit only 1 of the following specimens:

 

Specimen Type: Whole blood

Preferred: Lavender top (EDTA) or yellow top (ACD)

Acceptable: Any anticoagulant

Specimen Volume: 3 mL

Collection Instructions:

1. Invert several times to mix blood.

2. Send whole blood specimen in original tube. Do not aliquot.

Specimen Stability Information: Ambient (preferred) 4 days/Refrigerated

 

Prenatal Specimens

Due to its complexity, consultation with the laboratory is required for all prenatal testing; call 800-533-1710 to speak to a genetic counselor. 

 

Specimen Type: Amniotic fluid

Container/Tube: Amniotic fluid container

Specimen Volume: 20 mL

Specimen Stability Information: Refrigerated (preferred)/Ambient

Additional information: If amniotic fluid or culture amniotic fluid is received, CULAF / Culture for Genetic Testing, Amniotic Fluid will be added at an additional charge.

 

Specimen Type: Chorionic villi (CVS)

Container/Tube: 15-mL tube containing 15 mL of transport media

Specimen Volume: 20 mg

Specimen Stability Information: Refrigerated

Additional Information: If CVS or cultured CVS is received, CULFB / Fibroblast Culture for Biochemical or Molecular Testing will be added at an additional charge.

 

Acceptable:

Specimen Type: Confluent cultured cells

Container/Tube: T-25 flask

Specimen Volume: 2 Flasks

Collection Instructions: Submit confluent cultured cells from another laboratory.

Specimen Stability Information: Ambient (preferred)/Refrigerated (<24 hours)


Specimen Minimum Volume

Blood: 0.5 mL
Amniotic Fluid: 10 mL
Chorionic Villi: 5 mg

Specimen Stability Information

Specimen Type Temperature Time Special Container
Varies Varies

Reject Due To

All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Reference Values

An interpretive report will be provided.

Day(s) Performed

Monday and Wednesday

Report Available

5 to 21 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

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

CPT Code Information

81402

LOINC Code Information

Test ID Test Order Name Order LOINC Value
UNIPD Uniparental Disomy 36917-3

 

Result ID Test Result Name Result LOINC Value
53356 Result Summary 50397-9
53357 Result 36917-3
53358 Interpretation 69047-9
53359 Reason for Referral 42349-1
53360 Specimen 31208-2
53361 Source 31208-2
53362 Method 85069-3
53363 Released By 18771-6

Forms

1. New York Clients-Informed consent is required. Document on the request form or electronic order that a copy is on file. The following documents are available:

-Informed Consent for Genetic Testing (T576)

-Informed Consent for Genetic Testing-Spanish (T826)

2. Molecular Genetics: Uniparental Disomy Patient Information