PGT Results
An embryo with the appropriate amount of chromosomes
Euploid
All self pay PGT-A patients will use which PGT Lab?
Luminary
A patient would have had this testing in prescreening before the doctor recommended IVF with PGT-SR
Karyotype
True or False:
PGT-A requisitions with Luminary should be submitted as soon as the QP for IVF/PGT-A is entered
True
Who should you put as POC on a PGT-M requisition regardless of which PGT-M lab is being used?
Rachel Donnell SGF's Genetics Supervisor
An embryo with extra or missing chromosomes
Aneuploid
Financial/Insurance Provider
A patient would have had this testing in prescreening before the doctor recommended IVF with PGT-M
Genetic Carrier Screening
Where are Luminary PGT-A requisitions completed & submitted by the RN?
FERT Labs&Orders
How will Rachel Donnell know to start reviewing a PGT-M case?
The RN or MD will enter a PGT-M Referral progress note and then task Rachel in FERT
When an embryo comes back with both euploid and aneuploid cells
Mosaicism
How will the FC know to confirm a PGT-M/PGT-SR lab for your patient?
You putting in the PGT-M IVF fin tabs will alert the PGT benefits investigation team to start investigating. Once determined, you will receive a task from the team confirm which lab you need to submit a req to, to set the patient up.
PGT-A is recommended for which patient populations?
AMA
RPL
Significant Family Hx chromosomal anomalies
Where does the RN complete a PGT req if the patient needs to use Igenomix as their lab?
EngagedMD
When PGT-A results are ready from Lumminary, how will you be notified of that result?
PGTA results interface into FERT Labs&Orders-Lab Results. You will see an "Outside Lab" result pop up on your lab tasks and ToDo List in FERT.
True or False: Mosaic embryos can be transferred
True: Only specific levels and types of mosaic embryos
SGF will not transfer high-level mosaic embryos with the following: whole chromosome mosaicism results: trisomy 13, 18, 21, or Monosomy/Trisomy X/Y
If your provider puts in a QuickPlan for an FET and the embryos in inventory were PGT tested. Does the RN need to sign the bottom of the QuickPlan?
Yes!
Can a patient electively opt to do PGT-A if it is not clinically indicated?
Where does the RN complete the requisition for PGT-M or PGT-SR when the patient's lab will be Luminary?
The Luminary Portal
When PGT (A, M or SR) results are ready from Igenomix, how will you receive that report?
Via email
***Bonus question- what is the IGMX email password?
Who would call the patient with this result?
1 Blastocyst Tested with Result : XBBB Aneuploid X dup(11)(p15.5p15.2) (15.03 Mb), dup(12)(p13.33p11.1) (34.71 Mb); Monosomy
The MD should call when there is nothing available for transfer.
True/False: The patient can start their IVF cycle before they have completed their PGT Info Webinar
False. The RN should ensure this is done as a pre-start requirement.
Can a patient electively opt to do PGT-M or PGT-SR if it is not clinically indicated?
No!
If you are unsure of where to locate a specific PGT req, who can you ask?
ClinEd/ClinOps
***Most reqs can also be found on SharePoint for labs other than Luminary
A PGT-A patient claims they have PGT-A coverage with a lab other than Luminary but you already sent a PGT req to Luminary. What do you do?
Task the PGT benefits verification team and let them know the patient thinks they have coverage with Natera. While they do not typically check benefits for PGT-A patients, they are willing to assist in confirming. Once confirmed, cancel the Luminary req in FERT and complete/send the new requisition to the designated lab via email.