PD-L1 22C3 FDA (KEYTRUDA) for TNBC (Breast)

Message
PD-L1 IHC 22C3 pharmDx is a qualitative immunohistochemical assay using Monoclonal Mouse Anti-PD-L1, Clone 22C3 intended for use in the detection of PD-L1 protein in formalin-fixed, paraffin-embedded (FFPE) triple-negative breast cancer (TNBC) tissue using EnVision FLEX visualization system on Autostainer Link 48. This test is indicated as an aid in identifying TNBC patients for treatment with KEYTRUDA® (pembrolizumab). Tissues with PD-L1 Combined Positive Score (CPS) ≥ 10 are considered positive.


Test Code
LAB6252


CPT Codes
88360x1

Preferred Specimen
A formalin-fixed, paraffin-embedded (FFPE) tissue block is preferred specimen type or one (1) unbaked, unstained slide for H&E staining (required) and two to three (2-3) positively charged unstained slides (all cut at 4-5 microns) for each test/antibody ordered. Block and slide identifiers should be clearly written and match exactly with the specimen ID and specimen labeling as noted on the requisition. For PD-L1 22C3 evaluation, tissue submitted must have ≥100 viable tumor cells present.


Instructions
Use cold pack for transport. Make sure cold pack is not in direct contact with specimen.


Methodology
IHC

Setup Schedule
48 hours


Clinical Significance
PD-L1 22C3 FDA (KEYTRUDA®) for TNBC is a companion diagnostic (CDx) for certain triple-negative breast cancer patients. PD-L1 expression with ≥10% Combined Positive Score (CPS) may be associated with increased progression-free survival in patients with metastatic or advanced, locally unresectable TNBC treated with KEYTRUDA® and chemotherapy.


Performing Laboratory
Neogenomics Laboratories



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.