Immunoperoxidase Stains

Last Modified: 1/21/2021 7:02:02 AM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

FFPE tissue: Paraffin block

Collection Instructions: Tissue should be placed as close to the bottom of the slide as possible leaving room for a piece of control tissue to be added  

Heat fix  not needed at time of collection, will be done by Parkview

If ordering HMB45, Melan A, or S100 antibodies, please note if RED stain required

Transport & Storage: Temperature/Stability: Ambient
Reference Range: Refer to Interpretive Pathology Report
Critical Ranges:  
Test Comments:  
Methodology: Chemical
Clinical Significance:  
Custom Panel: No


Turn Around Time: 48 hours
Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: PS
EPIC Test Code: LAB2491
Included Tests: BCL-1 (Cyclin D1); BCL-2; BCL-6; BerEP4; Brest Triple Stain (BTS); Calretin; CD3 (T-Cell); CD5; CD10; CD15 (LEUM1); CD20 (L26); CD23; CD30; CD34; CD45 (LCA); CD68; CD117 (C-Kit); CD138; CDX2; CEA (Carcinoembryonic Antigen); Chromogranin A; CK 5/6; CK7;  CK20; CK PAN (AE1-AE3 / PCK26) (Pan Cytokeratin); CMV (Cytomegalovirus); C-MYC; DOG1; E-Cadherin; EMA (Epithelial Membrane Antigen); ER (Estrogen Receptor); GATA-3; Helicobacter Pylori (H-Pylori); HER-2-NEU; Hepatocyte Specific Antigen (Hep-1); HMB45; HSV (Herpes Simplex 1/2); KI67; Mart-1 (Melan A); MSI - Micro Satellite Instability (MLH1 / MSH2/ MSH6 / PMS2);MUM-1; Myeloperoxidase; Napsin A; NKX3.1; P16 (CINTec); P40; P53; P504SS; P63;  PAX-5; PAX-8; PR (Progesterone Receptor); PSA (Prostate Specific Antigen); PTS (Prostate Triple Stain); RCC; S-100a (S-100); SMA (Smooth Muscle Actin); SOX10; Synaptophysin; TTF-1; TdT; Vimentin; WT-1
CPT Coding: 88342 per stain

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