PD-L1 Non-Lung (Nivolumab), IHC

Test Code
93793


CPT Codes
88360

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


Other Acceptable Specimens
5 unstained charged(+) slides in IHC specimen transport kit


Instructions
All FDA approved tests require FFPE tissue, other fixatives have not been validated. FFPE tissue block or unstained, positively stained slides (5 minimum) can be submitted. A pathology report which includes the paraffin block number, and both macroscopic and microscopic evaluation and diagnosis, should be sent with the specimen.


Transport Container
IHC specimen transport kit


Transport Temperature
Room temperature


Specimen Stability
Formalin-fixed paraffin embedded tissue
Room temperature: 5 years
Refrigerated: 5 years
Frozen: Unacceptable

Unstained charged(+) slides
Room temperature: 30 days
Refrigerated: 30 days
Frozen: Unacceptable


Methodology
Immunohistochemical Stain

Setup Schedule
Set up: Mon-Fri; Report available: 4-6 days


Reference Range
See Laboratory Report


Clinical Significance
PD-L1 IHC 28-8 pharmDx is indicated as an aid in identifying patients for treatment with OPDIVO® (Nivolumab). This FDA approved test currently is applicable only to specific tumor types.

For non-FDA approved test indications or sample types, order 94007-PD-L1, IHC

For other FDA approved primary tumors, please order the following:
For Pembrolizumab:
1. NSCLC, order 93279-PD-L1 Lung (Pembrolizumab), IHC
2. Non-NSCLC, order 36260-PD-L1 Non-Lung (Pembrolizumab)

For Nivolumab:
1. Non-Squamous NSCLC or NSCLC, order 93359-PD-L1 Lung (Nivolumab), IHC
2. Non-NSCLC, order 93793-PD-L1 Non-Lung (Nivolumab)

For Atezolimab:
1. NSCLC, order 94480-PD-L1 Lung (Atezolizumab), IHC
2. Non-NSCLC order 94047-PD-L1 Non-Lung (Atezolizumab), IHC




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.