Quantitative Lymphocyte Subsets: T, B, and Natural Killer (NK), Blood

Test Code
94585


CPT Codes
86355, 86357, 86359, 86360

Preferred Specimen
3 mL whole blood collected in an EDTA (lavender-top) tube


Minimum Volume
1 mL


Instructions
1.) Date of draw is required.
2.) For serial monitoring, we recommend that specimen draws be performed at the same time of day.

Due to limited stability, specimens must be sent directly to the performing lab via overnight shipping/delivery. Specimens can only be sent Monday through Thursday.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: <52 hours
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic • Other specimen in aliquot tubes


Methodology
Flow Cytometry

FDA Status
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

Setup Schedule
Set up: Daily; Report available: 1-2 days


Reference Range
See Laboratory Report


Clinical Significance
Serial monitoring of CD4 T-cell count in HIV-positive patients

Follow-up and diagnostic evaluation of primary immunodeficiencies, including severe combined immunodeficiency

Immune monitoring following immunosuppressive therapy for transplantation, autoimmunity, and other immunological conditions where such treatment is utilized

Assessment of immune reconstitution post hematopoietic cell transplantation

Early screening of gross quantitative anomalies in lymphocyte subsets in infection or malignancies

Absolute quantitation of circulating B cells for diagnosis of chronic lymphocytic leukemia patients as indicated in the 2008 International Workshop on Chronic Lymphocytic Leukemia guidelines




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.