ALK (D5F3) with Interpretation by Immunohistochemistry

Test Code
36928


CPT Codes
88342

Preferred Specimen
Formalin fix (10% neutral buffered formalin) tumor tissue block, and paraffin-embedded tumor tissue block in tissue transport kit (ARUP supply #47808)


Other Acceptable Specimens
5 unstained (3-5 micron thick sections), positively charged slides submitted in a tissue transport kit (ARUP supply #47808)


Instructions
Protect paraffin block and/or slides from excessive heat. If sending precut slides, do not oven bake.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: Indefinitely
Refrigerated: Indefinitely
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Paraffin block with no tumor tissue remaining • Specimens fixed in any fixative other than 10 percent neutral buffered formalin


Methodology
Immunohistochemistry

Setup Schedule
Set up: Mon-Fri; Report available: 1-5 days


Reference Range
See Laboratory Report


Clinical Significance
Determine eligibility for tyrosine kinase inhibitor (TKI) therapy, primarily in individuals with pulmonary adenocarcinomas. Detects ALK fusion proteins.




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.