PD-L1 Lung (Pembrolizumab or Cemiplimab), IHC

Test Code
93279


CPT Codes
88360

Preferred Specimen
Formalin-fixed, paraffin-embedded tissue block submitted in IHC specimen transport kit


Other Acceptable Specimens
Minimum: 5 unstained, positively charged slides submitted in IHC specimen transport kit


Instructions
FFPE: State any other type of fixative used. A pathology report which includes the paraffin block number, and both macroscopic and microscopic evaluation and diagnosis, should be sent with the specimens.


Transport Temperature
Room temperature


Specimen Stability
Tissue block
Room temperature: 5 years
Refrigerated: 5 years
Frozen: Unacceptable

Slides
Room temperature: 30 days
Refrigerated: 30 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Cytology cell block • Decalcified specimens • Fixatives other than formalin • Baked or melted slides • Previously stained slides • Cytospins • Lung cancer specimens (primary or metastatic) are the only acceptable tissue type, other tissue types submitted will be rejected


Methodology
Immunohistochemical Stain

Setup Schedule
Set up: Mon-Fri; Report available: 3-5 days


Reference Range
See Laboratory Report


Clinical Significance
The PD-L1 pharmaDx qualitative assay is intended for use in the detection of PD-L1 in formalin-fixed, paraffin embedded (FFPE) non-small cell lung carcinoma (NSCLC). PD-L1 IHC 22C3 pharmDx is indicated as an aid in identifying NSCLC patients for treatment with KEYTRUDA (pembrolizumab).




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.