Last Modified:
11/13/2019 10:02:40 AM
Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
2 parafin sections on Plus Slides
Collection Instructions:
Transport & Storage: Temperature/Stability:
Ambient
Reference Range:
Refer to Interpretive Pathology Report
Critical Ranges:
Test Comments:
Methodology:
Chemical
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
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-2; BER-H2 (CD30: Ki-1); Calretin; CD3 (T-Cell); CD5; CD10; CD34; CD43 (T-Cell); CD117 (C-Kit); CEA (Carcinoembryonic Antigen); Chromogranin A; CK8 (LMW Keratin); CK20; CK903 (HMW Keratin); EMA (Epithelial Membrane Antigen); ER (Estrogen Receptor); GFAP (Glial Firillary Acidic Protein); HMB45; HER-2-NEU (c-erbB2); Keratin (Pan-Keratine: AE1: AE3); L26 (B-Cell: CD20); LCA (Leukocyte Common Antigen: CD45); LEU-M1 (CD15); Mart-1 (Melan A); Myeloperoxidase; NSE (Neuron Specific Enolase); PR (Progesterone Receptor: PgR636); PSA (Prostate Specific Antigen); PTS (Prostate Triple Stain); S-100a (S-100); SMA (Smooth Muscle Actin); SNAP (Synaptophysin); TTF-1; UCHL-1 (CD45RO: T-Cell); Vimentin
CPT Coding:
88342 per stain
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