Acute Leukemia Panel

Last Modified: 3/9/2021 11:30:20 AM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 4.0 mL Whole Blood in a Green Top Tube - Na Heparin
3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions:  
Transport & Storage: Temperature/Stability: EDTA: 48 hours Ambient
Na Heparin: 48 hours Ambient
Rejection Criteria: Specimens collected with Lithium Heparin tubes
Reference Range: Refer to Interpretive Pathology Flow Report

See CBC for its Reference Ranges
Critical Ranges:  
Test Comments:
The specimen is processed by whole blood lysis and stained with monoclonal antibodies using a direct immunofluorescence method. The cells are separated based on light scatter characteristics. and CD45 staining characteristics.

A Complete Blood Count will be reflexed, and charged with the ordering of this test if indicated
Methodology: Flow Cytometry
Clinical Significance:

Useful for distinguishing acute lymphoblastic leukemia from acute myelogenous leukemia and phenotypic subtyping of acute leukemias

This test was developed and the performance characteristics determined by Parkview Health Laboratories. This test has not been cleared by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88) as qualified to perform high complexity clinical laboratory testing.
Custom Panel: No


Turn Around Time: 48 to 72 hours
Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: FACUT
EPIC Test Code: LAB2452
Alternate Test Names: Acute Leukemia Panel, Flow Cytometry; Flow Cytometry, Acute
Included Tests: CBC [Automated Differential; Hematocrit (Hct); Hemoglobin (Hgb); Mean Corpuscular Hemoglobin (MCH); Mean Corpuscular Hemoglobin Concentration (MCHC); Mean Corpuscular Volume (MCV); Platelet (PLT);  Red Blood Cell Count (RBC); Red Cell Distribution Width Standard Deviation (RDWSD);  Red Cell Distribution Width Coefficient Variation (RDWCV); White Blood Cell Count (WBC)]; CD2; CD3; CD4; CD5; CD7; CD8; CD10; CD11b; CD13; CD14; CD15; CD16; CD19; CD20; CD22; CD23; CD33; CD34; CD36; CD38; CD41; CD45; CD56; CD57; CD64; CD71; CD79b; CD117; HLA-DR; Surface Kappa; Surface Lambda
CPT Coding: 85025, 88184, 88185 x 30 (Reflex 85007, 85008)

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