Chronic Lymphocytic Leukemia Prognostic Panel, Comprehensive

Last Modified: 11/29/2021 12:16:08 PM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Serum from a Red Top Tube in a Plastic Vial 
5.0 mL Whole Blood in a Lavender Top Tube - EDTA 
16.0 mL Whole Blood in a Green Top Tube - Na Heparin
Collection Instructions:

 Serum and EDTA whole blood and sodium heparin whole blood are required for this panel.

Minimum Volume: 0.5 mL Serum • 3 mL EDTA WB • 10 mL Na Hep WB
Transport & Storage: Temperature/Stability: 72 hours Ambient
Unacceptable Refrigerated
Unacceptable Frozen
Rejection Criteria: Hemolysis • Lipemia
Reference Range: Refer to Interpretive Results
Critical Ranges:  
Test Comments:  
Methodology: Culture • Fixed Rate Time Nephelometry • FC • FISH • Karyotype • PCR • Sequencing
Clinical Significance:  
Custom Panel: No


Turn Around Time: 10 to 11 days
Days Performed: Monday, Tuesday, Wednesday, Thursday
Sites Performed: Quest - Chantilly
PHL Test Code: MSOT
EPIC Test Code: MISC
Send Out Test Code: 17239
Alternate Test Names: Chronic Lymphocytic Leukemia (CLL) Prognostic Pane; CLL Prognostic Panel; CLL Prognostic Panel, Comprehensive
Included Tests: Beta-2-Microglobulin, Serum; CD38 + CLL Cells; Chromosome Analysis, CLL/LPD; Chronic Lymphocytic Leukemia, IgVH Mutation Status, Cell-based; FISH, B-Cell Chronic Lymphocytic Leukemia Panel; ZAP 70; 
CPT Coding: 82232, 81263, 88184, 88185 (x2), 88237, 88264, 88271 (x5), 88275 (x5)

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