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HelpEpic Code LAB2111400 Leukemia/Lymphoma/Myeloma Panel by Flow Cytometry
Test Name Alias
Flow Cytometry | Leukemia or Non-Hodgkins Lymphoma Panel by Flow Cytometry | Myeloma | LeukNHLPanel | NHL | Leukemia/Lymphoma Phenotype | ATL | B Cell All Minimal Residual Disease (MRD) | Leukemia Immunophenotyping | 910 | CAR-T | CART | Hairy Cell Leukemia | Mantle Cell Lymphoma | Chronic Lymphocytic Leukemia | Monoclonal Plasma Cells | MDS | AML | Acute Myeloid Leukemia | Lymphoproliferative Disorder | Acute Lymphoblastic Leukemia | ALL
Interface Order Alias
11414
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Clinical Information
This flow cytometry assay involves the staining of white blood cells using monoclonal antibodies in order to classify expression of antigens on the surface, in the cytoplasm, or within the nucleus of the cell. The resulting CD expression or immunophenotype is used by the hematopathologist to aid in the identification and diagnosis of various malignancies as well as to follow up after treatment. Standard screening panels of antibodies are sufficiently comprehensive to address the clinical considerations for the patient samples submitted (i.e., the presence or absence of detectable leukemia, lymphoma, plasma cell myeloma, or neuroblastoma).
Icons & Photos
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Green Top Sodium Heparin (Bone Marrow, Whole Blood, or some fluids) |
Lavender top EDTA (Bone Marrow, or Whole Blood) |
Hanks Salt Solution (Bone cores, tissues, FNA or biopsies) |
Sterile continer or tube (Some fluids and CSF) |
Collection Instructions
Flow Cytometry: Specimens placed in formalin, fixed slides, and tissue touch prep slides are NOT acceptable.
Submit only one of the following specimens:
Specimen Type: Bone Marrow
Container/Tube: Green Top (Sodium Heparin) or Lavender top (EDTA)
Volume: 2.0 - 3.0 mL
Minimum volume: 0.5 mL
Collection Instructions: Store ambient
Specimen Type: Whole Blood
Container/Tube: Green Top (Sodium Heparin) or Lavender top (EDTA)
Volume: 5.0 mL
Minimum volume: 0.5 mL
Pediatric volume: 1.0 mL
Collection Instructions: Store ambient
Specimen Type: Bone cores, tissues, and fine needle aspirates (FNA) or biopsies
Container/Tube: Place specimen in Hanks' Balanced Salt Solution. Using sterile saline is acceptable.
Collection Instructions: Store refrigerate
Specimen Type: Fluids
Container/Tube: Sterile container or Green Top (Sodium Heparin)
Collection Instructions: Store refrigerate
Specimen Type: Cerebrospinal Fluid (CSF)
Container/Tube: Sterile container
Volume: 2.0 mL
Minimum volume: 0.5 mL
Collection Instructions: Store refrigerate. Hand deliver - do not send through tube system.
Lab Staff Instructions
- Yellow Top (ACD Solution) is an acceptable, but not preferred, collection container for bone marrow and whole blood. Do not discard.
Specimen Stability
Ambient (bone marrow and blood): 48 hours*
Refrigerate: 48 hours*
Laboratory Retention: 7 days
*Flow cytometry: Specimens >48 hours will still be run and reported
Reflex Information
Leukemia/Lymphoma Immunophenotyping Panel Reflex:
This is a standard screen for Leukemia, Lymphoma and Multiple Myeloma. Appropriate add on or reflex testing will be added at the discretion of the pathologist.
Test Frequency
Flow Cytometry:
Monday – Friday 7:00am – 3:30pm, usual TAT 3 days.
Saturday – Sunday 8:00am – 12:30pm
Reference Range
Flow cytometry: See report: See patient chart report for interpretation
Performing Department
Flow Cytometry
Performing Department Laboratory Location
Corewell Health Advanced Technology Laboratory (ATL), Grand Rapids, MI
Methodology
Flow Cytometry
CPT
Flow Cytometry 88184-LAB FLOW CYTO 1ST MARKER,88185-LAB FLOW CYTO EA ADD MKR (x each) First cell surface marker will be billed with CPT code 88184. Each additional surface marker will be billed with CPT code 88185. The quantity of surface markers varies with each patient case and will be billed accordingly based on quantity performed. Corresponding professional fees will also apply.
Epic Test ID
1230100882
Reviewed Date
4/28/2023