PD-L1 SP142 FDA (Tecentriq) for NSCLC

Message
The VENTANA PD-L1 (SP142) Assay is a qualitative immunohistochemical assay using rabbit monoclonal anti-PD-L1 clone SP142 intended for use in the assessment of the PD-L1 protein in formalin-fixed, paraffin-embedded (FFPE) non-small cell lung cancer (NSCLC) tissue on a VENTANA BenchMark ULTRA instrument. Evaluation is based on either the proportion of tumor area occupied by PD-L1 expressing tumor-infiltrating immune cells (% IC) of any intensity or the percentage of PD-L1 expressing tumor cells (% TC) of any intensity. Primary or metastatic NSCLC tissues may be submitted. 


Test Code
LAB6417


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 SP142 evaluation, tissue submitted must have ≥50 viable tumor cells present.


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


Methodology
IHC

Report Available
48 hours


Clinical Significance
PD-L1 expression in ≥50% tumor cells or ≥ 10% tumor infiltrating immune cells as determined by this assay in NSCLC tissue may be associated with enhanced overall survival from TECENTRIQ (atezolizumab). This test is a complementary diagnostic for use of Tecentriq in certain NSCLC cases.


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.