Harmony prenatal panel

Alphabetical Test listing

Harmony prenatal panel-12637

Test name:

Test number:

12637

Excellian order number:

LAB12637

Alternate names:

Trisomies 21,18,13
Cell-free DNA (cfDNA)
Down syndrome
Edwards syndrome
MaterniT21 Plus prenatal test
Patau syndrome
Prenatal DNA Screen Sendout

Useful for:

Risk assessment for pregnant women with singleton or twin pregnancies of 10 weeks gestation or more

Collection container:

Ariosa tubes inluded in the collection kit

Volume:

10 mL Ariosa tubes

Minimum volume:

N/A

Collection instructions:

Allina Health facilities should order Prenatal DNA Sendout (LAB12637) which has been approved by the Test Formulary Committee and the OB/Gyn Service Line.

Sites other than Allina Health: Due to the requirement for patient informed consent, the need for special request forms, and the potential for degradation of DNA in the specimens if transport is delayed, these specimens must be sent directly from the collecting site to the performing laboratory. Contact Roche to establish an account and obtain specimen collection and shipping kits.

Processing instructions:

Do not spin, refrigerate or freeze

Transport container:

2 Ariosa® collection tubes

Required forms/information:

DOB
Gestational age or EDD/EDC & how obtained (LMP or US),
Pt weight
Number of fetuses
May be ordered with X or X & Y determinations; indicate on form if that is requested

Transport and stability:

Ambient

Performing lab:

Roche

TAT:

8 - 10 days

Method:

Cell Free DNA Analysis

CPT codes:

81507

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

Date created:

11/20/2012

Revised date:

08/31/2018