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-M or SR results are ready from Natera, how will you get access to those results?
Fax or by checking Natera Connect Portal
True or False: Mosaic embryos can be transferred
Only if they are considered "low mosaic" (<30 of cells are aneuploid)
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 coverage with Natera but you already send a PGT req to Luminary. What do you do?