C4d, IHC without Interpretation

Test Code
90196


CPT Codes
88342

Preferred Specimen

1 formalin-fixed, paraffin-embedded block, submitted in IHC Specimen Transport Kit



Other Acceptable Specimens
3 unstained, positively charged slides IHC Specimen Transport Kit; Room temperature


Instructions
Please include surgical pathology report.


Transport Container
IHC Specimen Transport Kit


Transport Temperature
Room temperature


Specimen Stability
Room temperature: Indefinitely
Refrigerated: Indefinitely
Frozen: Do Not Freeze


Methodology
Immunohistochemistry

Setup Schedule
Setup: Mon-Fri morning; Report available: Next day


Clinical Significance
C4d, a stable split product of classical complement
activation, is a marker of antibody-mediated acute
allograft rejection as well as hyperacute rejection,
acute vascular rejection, acute cellular rejection, and
borderline rejection. Detection of C4d has been used
diagnostically as a predictor of transplant kidney graft
survival and for managing acute rejection.




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.