Outpatient Submit with Specimen

Collect


Specimen TypeType of ContainerVolume of SpecimenStatus
Whole blood4 mL Purple tube (EDTA)4 mLPreferred
Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

Sorted cells (from blood and/or bone marrow)

4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

Sorted cells (from blood and/or bone marrow)

4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

 

Container Image

Outpatient Specimen Preparation

Whole blood: Do not centrifuge
                      Do not freeze
                      Keep at room temperature
                      Specimen must be processed within 24 hours of collection

Bone marrow: Do not freeze
                       Do not centrifuge
                       Keep at room temperature or refrigerate

Sorted cells: See Remarks section for collection instructions
                     Specimen must be processed within 24 hours of collection
                     Transport to the lab immediately after collection
                     Do not centrifuge
                     Do not freeze

Unacceptable Conditions

Centrifuged specimen, Clotted specimen, Frozen specimen, Wrong collection tube

Stability

Whole blood: Room temperature 24 hour(s)

Bone marrow: Room temperature 24 hour(s)
Bone marrow: Refrigerated 72 hour(s)

Sorted cells: Room temperature 24 hour(s)
 

Remarks

In order to perform this test, the recipient and the donor previously must have had a "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)" performed by the Nationwide Children's Laboratory to determine the informative DNA markers in the recipient and donor. 

Please note: if the patient has had a CTL infusion within the last 3 months, please contact the IGM Genetic counselors to discuss testing needs before ordering Bone Marrow Engraftment Post-Transplant analysis. 

Submission of a completed BMT Engraftment/Chimerism Test Requisition Form is required. The requisition form must provide transplant date and donor information including two unique identifiers associated with the donor, such as donor name and donor DOB, or two ID numbers associated with the donor if anonymous donor from the donor registry is used. This test is available for patients with transplant history involving one or two donors; this test cannot be performed for patients with transplant history involving three or more donors.  All samples should be labeled with specimen type (e.g. blood, bone marrow). 


SORTED CELLS ORDERING: 

  • Please see XSORT entry for further additional information on sorted cells. 

If analysis of sorted cells is requested, please indicate on the Test Requisition Form:

  • Whether testing is being performed on whole blood and/or bone marrow, and which types of sorted cells are requested (CD3/CD33 vs. CD3/CD33/CD19/CD56).

SORTED CELLS SAMPLE COLLECTION:

    Sorted Cell Specimen Requirements
    Sorted Cell TypesSpecimen Container & VolumeCollection Time
    CD3/CD33Minimum of 4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

    Monday-Thursday;

    Friday collection must be done on Nationwide Children's Main Campus

    CD3/CD33/CD19/CD56Minimum of 2x4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

    Monday-Thursday;

    Friday collection must be done on Nationwide Children's Main Campus

     


    For post-transplant chimerism analysis by XX/XY FISH, please see test code CHIMFISH (Post-Transplant Analysis by FISH). Please call the Institute for Genetics Medicine Clinical Laboratory at (614) 722-3280 with questions.

    Clinical Information

    This is a DNA-based (molecular genetic) test that quantitatively evaluates polymorphic genetic markers present in the sample. Post-transplant recipient genotypes will be compared to pre-transplant recipient and donor genotypes previously determined by "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)."

    Bone marrow engraftment analysis, also known as chimerism testing, involves determining the percentage of donor cells present in the recipient sample after allogeneic bone marrow transplant (BMT) or hematopoietic stem cell transplant (HSCT). Engraftment monitoring after BMT/HSCT is critical to assess the outcome of transplant and to predict the risk of relapse. Quantitative analysis of polymorphic genetic markers, such as this test, has become the standard technique for engraftment analysis due to its high sensitivity.

    Days Performed

    Monday through Friday

    Set Up Schedule

    All tests not performed daily.

    Typical Turnaround

    7 days

    Lab Area

    Institute for Genomic Medicine

    Methodology

    Capillary electrophoresis, Polymerase chain reaction (PCR), Microsatellite marker analysis

    CPT Codes

    81267 (81268 added for additional samples such as sorted cells)

    Synonyms

    • Molecular Post BMT, Chimerism study, Chimerism testing, Post transplant, Post BMT testing, Post-BMT recipient genotyping, Bone marrow transplant , Post BMT testing by DNA markers, Post-BMT DNA typing, Sorted cell chimerism by molecular DNA genotyping, HSCT post-transplant, Stem cell transplant, IGM Test, BMT

    Collect


    Specimen TypeType of ContainerVolume of SpecimenStatus
    Whole blood4 mL Purple tube (EDTA)4 mLPreferred
    Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

    Sorted cells (from blood and/or bone marrow)

    4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

    Sorted cells (from blood and/or bone marrow)

    4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

     

    Minimum Volume

    Specimen TypeType of ContainerVolume of SpecimenStatus
    Whole blood4 mL Purple tube (EDTA)4 mLPreferred
    Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

    Sorted cells (from blood and/or bone marrow)

    4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

    Sorted cells (from blood and/or bone marrow)

    4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

     

    Container Image

    Inpatient Specimen Preparation

    Whole blood: Do not centrifuge
                          Do not freeze
                          Keep at room temperature
                          Specimen must be processed within 24 hours of collection

    Bone marrow: Do not freeze
                           Do not centrifuge
                           Keep at room temperature or refrigerate

    Sorted cells: See Remarks section for collection instructions
                         Specimen must be processed within 24 hours of collection
                         Transport to the lab immediately after collection
                         Do not centrifuge
                         Do not freeze

    Unacceptable Conditions

    Centrifuged specimen, Clotted specimen, Frozen specimen, Wrong collection tube

    Stability

    Whole blood: Room temperature 24 hour(s)

    Bone marrow: Room temperature 24 hour(s)
    Bone marrow: Refrigerated 72 hour(s)

    Sorted cells: Room temperature 24 hour(s)
     

    Remarks

    In order to perform this test, the recipient and the donor previously must have had a "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)" performed by the Nationwide Children's Laboratory to determine the informative DNA markers in the recipient and donor. 

    Please note: if the patient has had a CTL infusion within the last 3 months, please contact the IGM Genetic counselors to discuss testing needs before ordering Bone Marrow Engraftment Post-Transplant analysis. 

    Submission of a completed BMT Engraftment/Chimerism Test Requisition Form is required. The requisition form must provide transplant date and donor information including two unique identifiers associated with the donor, such as donor name and donor DOB, or two ID numbers associated with the donor if anonymous donor from the donor registry is used. This test is available for patients with transplant history involving one or two donors; this test cannot be performed for patients with transplant history involving three or more donors.  All samples should be labeled with specimen type (e.g. blood, bone marrow). 


    SORTED CELLS ORDERING: 

    • Please see XSORT entry for further additional information on sorted cells. 

    If analysis of sorted cells is requested, please indicate on the Test Requisition Form:

    • Whether testing is being performed on whole blood and/or bone marrow, and which types of sorted cells are requested (CD3/CD33 vs. CD3/CD33/CD19/CD56).

    SORTED CELLS SAMPLE COLLECTION:

      Sorted Cell Specimen Requirements
      Sorted Cell TypesSpecimen Container & VolumeCollection Time
      CD3/CD33Minimum of 4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

      Monday-Thursday;

      Friday collection must be done on Nationwide Children's Main Campus

      CD3/CD33/CD19/CD56Minimum of 2x4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

      Monday-Thursday;

      Friday collection must be done on Nationwide Children's Main Campus

       


      For post-transplant chimerism analysis by XX/XY FISH, please see test code CHIMFISH (Post-Transplant Analysis by FISH). Please call the Institute for Genetics Medicine Clinical Laboratory at (614) 722-3280 with questions.

      Clinical Information

      This is a DNA-based (molecular genetic) test that quantitatively evaluates polymorphic genetic markers present in the sample. Post-transplant recipient genotypes will be compared to pre-transplant recipient and donor genotypes previously determined by "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)."

      Bone marrow engraftment analysis, also known as chimerism testing, involves determining the percentage of donor cells present in the recipient sample after allogeneic bone marrow transplant (BMT) or hematopoietic stem cell transplant (HSCT). Engraftment monitoring after BMT/HSCT is critical to assess the outcome of transplant and to predict the risk of relapse. Quantitative analysis of polymorphic genetic markers, such as this test, has become the standard technique for engraftment analysis due to its high sensitivity.

      Days Performed

      Monday through Friday

      Set Up Schedule

      All tests not performed daily.

      Typical Turnaround

      7 days

      CPT Codes

      81267 (81268 added for additional samples such as sorted cells)

      Lab Area

      Institute for Genomic Medicine

      Synonyms

      • Molecular Post BMT, Chimerism study, Chimerism testing, Post transplant, Post BMT testing, Post-BMT recipient genotyping, Bone marrow transplant , Post BMT testing by DNA markers, Post-BMT DNA typing, Sorted cell chimerism by molecular DNA genotyping, HSCT post-transplant, Stem cell transplant, IGM Test, BMT

      Estimated Patient Price

      < $1,000

      Synonyms

      • Molecular Post BMT, Chimerism study, Chimerism testing, Post transplant, Post BMT testing, Post-BMT recipient genotyping, Bone marrow transplant , Post BMT testing by DNA markers, Post-BMT DNA typing, Sorted cell chimerism by molecular DNA genotyping, HSCT post-transplant, Stem cell transplant, IGM Test, BMT

      CPT Codes

      81267 (81268 added for additional samples such as sorted cells)

      Clinical Information

      This is a DNA-based (molecular genetic) test that quantitatively evaluates polymorphic genetic markers present in the sample. Post-transplant recipient genotypes will be compared to pre-transplant recipient and donor genotypes previously determined by "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)."

      Bone marrow engraftment analysis, also known as chimerism testing, involves determining the percentage of donor cells present in the recipient sample after allogeneic bone marrow transplant (BMT) or hematopoietic stem cell transplant (HSCT). Engraftment monitoring after BMT/HSCT is critical to assess the outcome of transplant and to predict the risk of relapse. Quantitative analysis of polymorphic genetic markers, such as this test, has become the standard technique for engraftment analysis due to its high sensitivity.

      Methodology

      Capillary electrophoresis, Polymerase chain reaction (PCR), Microsatellite marker analysis

      Outpatient Submit with Specimen

      Collect


      Specimen TypeType of ContainerVolume of SpecimenStatus
      Whole blood4 mL Purple tube (EDTA)4 mLPreferred
      Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

      Sorted cells (from blood and/or bone marrow)

      4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

      Sorted cells (from blood and/or bone marrow)

      4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

       

      Minimum Volume

      Specimen TypeType of ContainerVolume of SpecimenStatus
      Whole blood4 mL Purple tube (EDTA)4 mLPreferred
      Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

      Sorted cells (from blood and/or bone marrow)

      4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

      Sorted cells (from blood and/or bone marrow)

      4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

       

      Container Image

      Inpatient Specimen Preparation

      Whole blood: Do not centrifuge
                            Do not freeze
                            Keep at room temperature
                            Specimen must be processed within 24 hours of collection

      Bone marrow: Do not freeze
                             Do not centrifuge
                             Keep at room temperature or refrigerate

      Sorted cells: See Remarks section for collection instructions
                           Specimen must be processed within 24 hours of collection
                           Transport to the lab immediately after collection
                           Do not centrifuge
                           Do not freeze

      Outpatient Specimen Preparation

      Whole blood: Do not centrifuge
                            Do not freeze
                            Keep at room temperature
                            Specimen must be processed within 24 hours of collection

      Bone marrow: Do not freeze
                             Do not centrifuge
                             Keep at room temperature or refrigerate

      Sorted cells: See Remarks section for collection instructions
                           Specimen must be processed within 24 hours of collection
                           Transport to the lab immediately after collection
                           Do not centrifuge
                           Do not freeze

      InLab Processing

      STAT/TIME SENSITIVE SPECIMEN. For Non-EPIC lab orders CPA needs to order SGENSP and XSORT in Sunquest. Send minimum 4mL NaHep or 4mL EDTA (blood or bone marrow) to send out lab with XSORT label. Send 4 mL EDTA (blood or bone marrow) to the Institute for Genomic Medicine with SGENSP. If questions please call IGM at 25321 Send out lab- see XSORT entry for OSU sorted cells requisition. If order states a CTL infusion has taken place, please reach out to IGM prior to sending sorted cells.

      Stability

      Whole blood: Room temperature 24 hour(s)

      Bone marrow: Room temperature 24 hour(s)
      Bone marrow: Refrigerated 72 hour(s)

      Sorted cells: Room temperature 24 hour(s)
       

      Unacceptable Conditions

      Centrifuged specimen, Clotted specimen, Frozen specimen, Wrong collection tube

      Days Performed

      Monday through Friday

      Set Up Schedule

      All tests not performed daily.

      Typical Turnaround

      7 days

      Remarks

      In order to perform this test, the recipient and the donor previously must have had a "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)" performed by the Nationwide Children's Laboratory to determine the informative DNA markers in the recipient and donor. 

      Please note: if the patient has had a CTL infusion within the last 3 months, please contact the IGM Genetic counselors to discuss testing needs before ordering Bone Marrow Engraftment Post-Transplant analysis. 

      Submission of a completed BMT Engraftment/Chimerism Test Requisition Form is required. The requisition form must provide transplant date and donor information including two unique identifiers associated with the donor, such as donor name and donor DOB, or two ID numbers associated with the donor if anonymous donor from the donor registry is used. This test is available for patients with transplant history involving one or two donors; this test cannot be performed for patients with transplant history involving three or more donors.  All samples should be labeled with specimen type (e.g. blood, bone marrow). 


      SORTED CELLS ORDERING: 

      • Please see XSORT entry for further additional information on sorted cells. 

      If analysis of sorted cells is requested, please indicate on the Test Requisition Form:

      • Whether testing is being performed on whole blood and/or bone marrow, and which types of sorted cells are requested (CD3/CD33 vs. CD3/CD33/CD19/CD56).

      SORTED CELLS SAMPLE COLLECTION:

        Sorted Cell Specimen Requirements
        Sorted Cell TypesSpecimen Container & VolumeCollection Time
        CD3/CD33Minimum of 4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

        Monday-Thursday;

        Friday collection must be done on Nationwide Children's Main Campus

        CD3/CD33/CD19/CD56Minimum of 2x4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

        Monday-Thursday;

        Friday collection must be done on Nationwide Children's Main Campus

         


        For post-transplant chimerism analysis by XX/XY FISH, please see test code CHIMFISH (Post-Transplant Analysis by FISH). Please call the Institute for Genetics Medicine Clinical Laboratory at (614) 722-3280 with questions.

        Clinical Information

        This is a DNA-based (molecular genetic) test that quantitatively evaluates polymorphic genetic markers present in the sample. Post-transplant recipient genotypes will be compared to pre-transplant recipient and donor genotypes previously determined by "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)."

        Bone marrow engraftment analysis, also known as chimerism testing, involves determining the percentage of donor cells present in the recipient sample after allogeneic bone marrow transplant (BMT) or hematopoietic stem cell transplant (HSCT). Engraftment monitoring after BMT/HSCT is critical to assess the outcome of transplant and to predict the risk of relapse. Quantitative analysis of polymorphic genetic markers, such as this test, has become the standard technique for engraftment analysis due to its high sensitivity.

        Synonyms

        • Molecular Post BMT, Chimerism study, Chimerism testing, Post transplant, Post BMT testing, Post-BMT recipient genotyping, Bone marrow transplant , Post BMT testing by DNA markers, Post-BMT DNA typing, Sorted cell chimerism by molecular DNA genotyping, HSCT post-transplant, Stem cell transplant, IGM Test, BMT

        Methodology

        Capillary electrophoresis, Polymerase chain reaction (PCR), Microsatellite marker analysis

        CPT Codes

        81267 (81268 added for additional samples such as sorted cells)

        Estimated Patient Price

        < $1,000

        DC Code

        5321

        Downtime Availability

        4-Not available
        Outpatient Requirements

        Outpatient Submit with Specimen

        Collect


        Specimen TypeType of ContainerVolume of SpecimenStatus
        Whole blood4 mL Purple tube (EDTA)4 mLPreferred
        Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

        Sorted cells (from blood and/or bone marrow)

        4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

        Sorted cells (from blood and/or bone marrow)

        4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

         

        Container Image

        Outpatient Specimen Preparation

        Whole blood: Do not centrifuge
                              Do not freeze
                              Keep at room temperature
                              Specimen must be processed within 24 hours of collection

        Bone marrow: Do not freeze
                               Do not centrifuge
                               Keep at room temperature or refrigerate

        Sorted cells: See Remarks section for collection instructions
                             Specimen must be processed within 24 hours of collection
                             Transport to the lab immediately after collection
                             Do not centrifuge
                             Do not freeze

        Unacceptable Conditions

        Centrifuged specimen, Clotted specimen, Frozen specimen, Wrong collection tube

        Stability

        Whole blood: Room temperature 24 hour(s)

        Bone marrow: Room temperature 24 hour(s)
        Bone marrow: Refrigerated 72 hour(s)

        Sorted cells: Room temperature 24 hour(s)
         

        Remarks

        In order to perform this test, the recipient and the donor previously must have had a "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)" performed by the Nationwide Children's Laboratory to determine the informative DNA markers in the recipient and donor. 

        Please note: if the patient has had a CTL infusion within the last 3 months, please contact the IGM Genetic counselors to discuss testing needs before ordering Bone Marrow Engraftment Post-Transplant analysis. 

        Submission of a completed BMT Engraftment/Chimerism Test Requisition Form is required. The requisition form must provide transplant date and donor information including two unique identifiers associated with the donor, such as donor name and donor DOB, or two ID numbers associated with the donor if anonymous donor from the donor registry is used. This test is available for patients with transplant history involving one or two donors; this test cannot be performed for patients with transplant history involving three or more donors.  All samples should be labeled with specimen type (e.g. blood, bone marrow). 


        SORTED CELLS ORDERING: 

        • Please see XSORT entry for further additional information on sorted cells. 

        If analysis of sorted cells is requested, please indicate on the Test Requisition Form:

        • Whether testing is being performed on whole blood and/or bone marrow, and which types of sorted cells are requested (CD3/CD33 vs. CD3/CD33/CD19/CD56).

        SORTED CELLS SAMPLE COLLECTION:

          Sorted Cell Specimen Requirements
          Sorted Cell TypesSpecimen Container & VolumeCollection Time
          CD3/CD33Minimum of 4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

          Monday-Thursday;

          Friday collection must be done on Nationwide Children's Main Campus

          CD3/CD33/CD19/CD56Minimum of 2x4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

          Monday-Thursday;

          Friday collection must be done on Nationwide Children's Main Campus

           


          For post-transplant chimerism analysis by XX/XY FISH, please see test code CHIMFISH (Post-Transplant Analysis by FISH). Please call the Institute for Genetics Medicine Clinical Laboratory at (614) 722-3280 with questions.

          Clinical Information

          This is a DNA-based (molecular genetic) test that quantitatively evaluates polymorphic genetic markers present in the sample. Post-transplant recipient genotypes will be compared to pre-transplant recipient and donor genotypes previously determined by "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)."

          Bone marrow engraftment analysis, also known as chimerism testing, involves determining the percentage of donor cells present in the recipient sample after allogeneic bone marrow transplant (BMT) or hematopoietic stem cell transplant (HSCT). Engraftment monitoring after BMT/HSCT is critical to assess the outcome of transplant and to predict the risk of relapse. Quantitative analysis of polymorphic genetic markers, such as this test, has become the standard technique for engraftment analysis due to its high sensitivity.

          Days Performed

          Monday through Friday

          Set Up Schedule

          All tests not performed daily.

          Typical Turnaround

          7 days

          Lab Area

          Institute for Genomic Medicine

          Methodology

          Capillary electrophoresis, Polymerase chain reaction (PCR), Microsatellite marker analysis

          CPT Codes

          81267 (81268 added for additional samples such as sorted cells)

          Synonyms

          • Molecular Post BMT, Chimerism study, Chimerism testing, Post transplant, Post BMT testing, Post-BMT recipient genotyping, Bone marrow transplant , Post BMT testing by DNA markers, Post-BMT DNA typing, Sorted cell chimerism by molecular DNA genotyping, HSCT post-transplant, Stem cell transplant, IGM Test, BMT
          Inpatient Requirements

          Collect


          Specimen TypeType of ContainerVolume of SpecimenStatus
          Whole blood4 mL Purple tube (EDTA)4 mLPreferred
          Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

          Sorted cells (from blood and/or bone marrow)

          4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

          Sorted cells (from blood and/or bone marrow)

          4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

           

          Minimum Volume

          Specimen TypeType of ContainerVolume of SpecimenStatus
          Whole blood4 mL Purple tube (EDTA)4 mLPreferred
          Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

          Sorted cells (from blood and/or bone marrow)

          4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

          Sorted cells (from blood and/or bone marrow)

          4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

           

          Container Image

          Inpatient Specimen Preparation

          Whole blood: Do not centrifuge
                                Do not freeze
                                Keep at room temperature
                                Specimen must be processed within 24 hours of collection

          Bone marrow: Do not freeze
                                 Do not centrifuge
                                 Keep at room temperature or refrigerate

          Sorted cells: See Remarks section for collection instructions
                               Specimen must be processed within 24 hours of collection
                               Transport to the lab immediately after collection
                               Do not centrifuge
                               Do not freeze

          Unacceptable Conditions

          Centrifuged specimen, Clotted specimen, Frozen specimen, Wrong collection tube

          Stability

          Whole blood: Room temperature 24 hour(s)

          Bone marrow: Room temperature 24 hour(s)
          Bone marrow: Refrigerated 72 hour(s)

          Sorted cells: Room temperature 24 hour(s)
           

          Remarks

          In order to perform this test, the recipient and the donor previously must have had a "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)" performed by the Nationwide Children's Laboratory to determine the informative DNA markers in the recipient and donor. 

          Please note: if the patient has had a CTL infusion within the last 3 months, please contact the IGM Genetic counselors to discuss testing needs before ordering Bone Marrow Engraftment Post-Transplant analysis. 

          Submission of a completed BMT Engraftment/Chimerism Test Requisition Form is required. The requisition form must provide transplant date and donor information including two unique identifiers associated with the donor, such as donor name and donor DOB, or two ID numbers associated with the donor if anonymous donor from the donor registry is used. This test is available for patients with transplant history involving one or two donors; this test cannot be performed for patients with transplant history involving three or more donors.  All samples should be labeled with specimen type (e.g. blood, bone marrow). 


          SORTED CELLS ORDERING: 

          • Please see XSORT entry for further additional information on sorted cells. 

          If analysis of sorted cells is requested, please indicate on the Test Requisition Form:

          • Whether testing is being performed on whole blood and/or bone marrow, and which types of sorted cells are requested (CD3/CD33 vs. CD3/CD33/CD19/CD56).

          SORTED CELLS SAMPLE COLLECTION:

            Sorted Cell Specimen Requirements
            Sorted Cell TypesSpecimen Container & VolumeCollection Time
            CD3/CD33Minimum of 4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

            Monday-Thursday;

            Friday collection must be done on Nationwide Children's Main Campus

            CD3/CD33/CD19/CD56Minimum of 2x4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

            Monday-Thursday;

            Friday collection must be done on Nationwide Children's Main Campus

             


            For post-transplant chimerism analysis by XX/XY FISH, please see test code CHIMFISH (Post-Transplant Analysis by FISH). Please call the Institute for Genetics Medicine Clinical Laboratory at (614) 722-3280 with questions.

            Clinical Information

            This is a DNA-based (molecular genetic) test that quantitatively evaluates polymorphic genetic markers present in the sample. Post-transplant recipient genotypes will be compared to pre-transplant recipient and donor genotypes previously determined by "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)."

            Bone marrow engraftment analysis, also known as chimerism testing, involves determining the percentage of donor cells present in the recipient sample after allogeneic bone marrow transplant (BMT) or hematopoietic stem cell transplant (HSCT). Engraftment monitoring after BMT/HSCT is critical to assess the outcome of transplant and to predict the risk of relapse. Quantitative analysis of polymorphic genetic markers, such as this test, has become the standard technique for engraftment analysis due to its high sensitivity.

            Days Performed

            Monday through Friday

            Set Up Schedule

            All tests not performed daily.

            Typical Turnaround

            7 days

            CPT Codes

            81267 (81268 added for additional samples such as sorted cells)

            Lab Area

            Institute for Genomic Medicine

            Synonyms

            • Molecular Post BMT, Chimerism study, Chimerism testing, Post transplant, Post BMT testing, Post-BMT recipient genotyping, Bone marrow transplant , Post BMT testing by DNA markers, Post-BMT DNA typing, Sorted cell chimerism by molecular DNA genotyping, HSCT post-transplant, Stem cell transplant, IGM Test, BMT

            Estimated Patient Price

            < $1,000
            Overview/Billing

            Synonyms

            • Molecular Post BMT, Chimerism study, Chimerism testing, Post transplant, Post BMT testing, Post-BMT recipient genotyping, Bone marrow transplant , Post BMT testing by DNA markers, Post-BMT DNA typing, Sorted cell chimerism by molecular DNA genotyping, HSCT post-transplant, Stem cell transplant, IGM Test, BMT

            CPT Codes

            81267 (81268 added for additional samples such as sorted cells)
            Interpretation

            Clinical Information

            This is a DNA-based (molecular genetic) test that quantitatively evaluates polymorphic genetic markers present in the sample. Post-transplant recipient genotypes will be compared to pre-transplant recipient and donor genotypes previously determined by "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)."

            Bone marrow engraftment analysis, also known as chimerism testing, involves determining the percentage of donor cells present in the recipient sample after allogeneic bone marrow transplant (BMT) or hematopoietic stem cell transplant (HSCT). Engraftment monitoring after BMT/HSCT is critical to assess the outcome of transplant and to predict the risk of relapse. Quantitative analysis of polymorphic genetic markers, such as this test, has become the standard technique for engraftment analysis due to its high sensitivity.

            Methodology

            Capillary electrophoresis, Polymerase chain reaction (PCR), Microsatellite marker analysis
            NCH Lab Only

            Outpatient Submit with Specimen

            Collect


            Specimen TypeType of ContainerVolume of SpecimenStatus
            Whole blood4 mL Purple tube (EDTA)4 mLPreferred
            Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

            Sorted cells (from blood and/or bone marrow)

            4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

            Sorted cells (from blood and/or bone marrow)

            4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

             

            Minimum Volume

            Specimen TypeType of ContainerVolume of SpecimenStatus
            Whole blood4 mL Purple tube (EDTA)4 mLPreferred
            Bone marrow4 mL Purple tube (EDTA)4 mLPreferred

            Sorted cells (from blood and/or bone marrow)

            4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Green tube (Sodium heparin), No GelSee RemarksPreferred

            Sorted cells (from blood and/or bone marrow)

            4 mL (CD3/CD33) or 2x4 mL (CD3/CD33/CD19/CD56) Purple tube (EDTA)See RemarksAlternate

             

            Container Image

            Inpatient Specimen Preparation

            Whole blood: Do not centrifuge
                                  Do not freeze
                                  Keep at room temperature
                                  Specimen must be processed within 24 hours of collection

            Bone marrow: Do not freeze
                                   Do not centrifuge
                                   Keep at room temperature or refrigerate

            Sorted cells: See Remarks section for collection instructions
                                 Specimen must be processed within 24 hours of collection
                                 Transport to the lab immediately after collection
                                 Do not centrifuge
                                 Do not freeze

            Outpatient Specimen Preparation

            Whole blood: Do not centrifuge
                                  Do not freeze
                                  Keep at room temperature
                                  Specimen must be processed within 24 hours of collection

            Bone marrow: Do not freeze
                                   Do not centrifuge
                                   Keep at room temperature or refrigerate

            Sorted cells: See Remarks section for collection instructions
                                 Specimen must be processed within 24 hours of collection
                                 Transport to the lab immediately after collection
                                 Do not centrifuge
                                 Do not freeze

            InLab Processing

            STAT/TIME SENSITIVE SPECIMEN. For Non-EPIC lab orders CPA needs to order SGENSP and XSORT in Sunquest. Send minimum 4mL NaHep or 4mL EDTA (blood or bone marrow) to send out lab with XSORT label. Send 4 mL EDTA (blood or bone marrow) to the Institute for Genomic Medicine with SGENSP. If questions please call IGM at 25321 Send out lab- see XSORT entry for OSU sorted cells requisition. If order states a CTL infusion has taken place, please reach out to IGM prior to sending sorted cells.

            Stability

            Whole blood: Room temperature 24 hour(s)

            Bone marrow: Room temperature 24 hour(s)
            Bone marrow: Refrigerated 72 hour(s)

            Sorted cells: Room temperature 24 hour(s)
             

            Unacceptable Conditions

            Centrifuged specimen, Clotted specimen, Frozen specimen, Wrong collection tube

            Days Performed

            Monday through Friday

            Set Up Schedule

            All tests not performed daily.

            Typical Turnaround

            7 days

            Remarks

            In order to perform this test, the recipient and the donor previously must have had a "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)" performed by the Nationwide Children's Laboratory to determine the informative DNA markers in the recipient and donor. 

            Please note: if the patient has had a CTL infusion within the last 3 months, please contact the IGM Genetic counselors to discuss testing needs before ordering Bone Marrow Engraftment Post-Transplant analysis. 

            Submission of a completed BMT Engraftment/Chimerism Test Requisition Form is required. The requisition form must provide transplant date and donor information including two unique identifiers associated with the donor, such as donor name and donor DOB, or two ID numbers associated with the donor if anonymous donor from the donor registry is used. This test is available for patients with transplant history involving one or two donors; this test cannot be performed for patients with transplant history involving three or more donors.  All samples should be labeled with specimen type (e.g. blood, bone marrow). 


            SORTED CELLS ORDERING: 

            • Please see XSORT entry for further additional information on sorted cells. 

            If analysis of sorted cells is requested, please indicate on the Test Requisition Form:

            • Whether testing is being performed on whole blood and/or bone marrow, and which types of sorted cells are requested (CD3/CD33 vs. CD3/CD33/CD19/CD56).

            SORTED CELLS SAMPLE COLLECTION:

              Sorted Cell Specimen Requirements
              Sorted Cell TypesSpecimen Container & VolumeCollection Time
              CD3/CD33Minimum of 4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

              Monday-Thursday;

              Friday collection must be done on Nationwide Children's Main Campus

              CD3/CD33/CD19/CD56Minimum of 2x4 mL peripheral blood or bone marrow in NaHep (green-top) or EDTA (purple top) tube

              Monday-Thursday;

              Friday collection must be done on Nationwide Children's Main Campus

               


              For post-transplant chimerism analysis by XX/XY FISH, please see test code CHIMFISH (Post-Transplant Analysis by FISH). Please call the Institute for Genetics Medicine Clinical Laboratory at (614) 722-3280 with questions.

              Clinical Information

              This is a DNA-based (molecular genetic) test that quantitatively evaluates polymorphic genetic markers present in the sample. Post-transplant recipient genotypes will be compared to pre-transplant recipient and donor genotypes previously determined by "Bone Marrow Engraftment Pre-Transplant Analysis (Test Code: BMPR)."

              Bone marrow engraftment analysis, also known as chimerism testing, involves determining the percentage of donor cells present in the recipient sample after allogeneic bone marrow transplant (BMT) or hematopoietic stem cell transplant (HSCT). Engraftment monitoring after BMT/HSCT is critical to assess the outcome of transplant and to predict the risk of relapse. Quantitative analysis of polymorphic genetic markers, such as this test, has become the standard technique for engraftment analysis due to its high sensitivity.

              Synonyms

              • Molecular Post BMT, Chimerism study, Chimerism testing, Post transplant, Post BMT testing, Post-BMT recipient genotyping, Bone marrow transplant , Post BMT testing by DNA markers, Post-BMT DNA typing, Sorted cell chimerism by molecular DNA genotyping, HSCT post-transplant, Stem cell transplant, IGM Test, BMT

              Methodology

              Capillary electrophoresis, Polymerase chain reaction (PCR), Microsatellite marker analysis

              CPT Codes

              81267 (81268 added for additional samples such as sorted cells)

              Estimated Patient Price

              < $1,000

              DC Code

              5321

              Downtime Availability

              4-Not available

              Lab Area

              Lab Area
              Institute for Genomic Medicine