Immunoperoxidase Stains

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:  
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-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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