General Information

UPHSM LIS Test #: 7008
Schedule: Monday- Friday
Testing Time: 1 - 3 days
Testing Lab: UP Health System-Marquette

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 30 mL
Temperature: Refrigerate
Tube Type: Urine with PreservCyt preservative
Collection Info:
Minimum of 30 mL of voided urine.  Mix voided urine 3:1 (v:v) with PreservCyt preservative.  Refrigerate and ship at temperature up to 25 C within 24 hours of collection.  Shipment on ice is preferred.  Specimen CANNOT be frozen.


Urine is processed to fixed cell pellet within 72 hours of  collection.  FISH pretreatment and processing for UroVysion. Probes specific  for UroVysion: chromosome centromeres 3, 7, 17, and p16 locus specific probe for 9p21 are analyzed.

Clinical Utilities

Detection of aneuploidy of chromosomes 3,7, and 17, and loss of 9p21 locus in person with hematuria suspected of having bladder
cancer, to aid in initial diagnosis of bladder cancer, and subsequent monitoring of tumor recurrence in patients previously diagnosed with bladder cancer.

CPT Codes

88120 x 1

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Reference Range

An interpretive report will be provided. Normal reference range would be less than 4 cells with gains of two or more of chromosomes 3,7 and 17, and /or less than 12 cells with homozygous deletion of 9p21 locus. This test is approved by the FDA.