Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
and
5.0 mL Whole Blood in a Lavender Top Tube - EDTA
and
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:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
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)