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Immune Deficiency Panel

Immune Deficiency Panel

Alternate Test Name

Lymphocyte Panel Complete
Lymphocyte Subset Panel
Lymphocyte Subpopulation Analysis
T-Cells
CD4/CD8
B Cells
NK Cells
COM Panel

Epic Mnemonic
Sunquest Mnemonic

LAB2100
IMDEFB

Category

Sendouts

Methodology

Flow Cytometry

Result Availability

2-3 days

Specimen Required

Container

Pale yellow top (ACD) tube plus Lavender top (EDTA) tube

Volume

7.0 mL ACD whole blood plus 5.0 mL EDTA whole blood

Collection Instructions

• Routine venipuncture
• Do not centrifuge
• Do not remove plasma from cells

Transportation Instructions

• Maintain both tubes at room temperature
• Do not refrigerate
• Specimen should be received by testing site optimally within 12 hours of collection

Stability

EDTA Specimen: 30 hours room temperature (20-30°C)
ACD Specimen: 48 hours room temperature (20-30°C)

Causes for Rejection

• Not collected in appropriate container
• Hemolyzed sample
• Clotted sample
• Samples refrigerated
• Received more than 48 hours after collection

Remarks

Panel Includes:
• T-Cell Markers:
CD3 (T-Cells)
CD4 (Helper Cells)
CD8 (Suppresser Cells)
• CD19 (B-Cell Marker)
• CD16/56 (Natural Killer Markers)
• Helper to Suppresser Cell Ratio (calculated)

Medicare Medical Necessity Policy

CPT Codes

86355, 86357, 86359, 86360

Effective/Revised

6/12/12

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