CD20 on B Cells

Message
Sendout, Mayo test code: CD20B


Test Code
LAB1188


Alias/See Also
CD20, B-Cells
CD20B


CPT Codes
86355, 86356

Preferred Specimen
3 mL whole blood from a lavender EDTA tube


Minimum Volume
1 mL


Other Acceptable Specimens
Pink EDTA tube


Instructions
1. Send whole blood specimen in original tube. Secondary aliquot tubes will be rejected.
2. Testing will be canceled if the specimen is not received ambient.
3. For serial monitoring, it is recommended that specimens are collected at the same time of day.


Transport Container
Original tube


Transport Temperature
Ambient


Specimen Stability
Ambient (preferred): 4 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis: Reject
Gross lipemia: Reject
Secondary aliquot tube: Reject


Methodology
Flow Cytometry

FDA Status
Approved

Setup Schedule
Monday through Sunday
Resulted Monday through Friday


Report Available
1-2 days


Limitations
Timing and consistency in timing of blood collection is critical when serially monitoring patients for lymphocyte subsets.


Reference Range
Included with report


Clinical Significance
Evaluation of CD19 deficiency in patients with a suspected CD19 deficiency (humoral immunodeficiency)
 
Confirming complete absence of B cells in suspected primary humoral immunodeficiencies using both CD19 and CD20 markers
 
Assessing therapeutic B-cell depletion quantitatively (absolute counts of cells/mcL) in any clinical context, including malignancies, autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, and membranous glomerulonephritis among others, and treatment or prevention of acute humoral rejection in positive crossmatch renal transplant recipients
 
This test is not useful for assessing whether B cells express the target molecule (CD20) in the context of initiating therapeutic monoclonal anti-CD20 antibody therapy (rituximab, ofatumumab, and tositumomab) for any of the hematological malignancies, or in other clinical contexts, such as autoimmunity.


Performing Laboratory
Mayo Clinic Laboratories, Rochester, Minnesota

Additional Information
CD20 on B Cells, Blood


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.