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Flow Cytometry, Leukemia or Lymphoma
MessageSendout, Neogenomics
Test Code
LAB5210527
Alias/See Also
Flow Cytometry, Blood
Standard Leukemia Lymphoma Panel
24 markers
Standard Leukemia Lymphoma Panel
24 markers
CPT Codes
88184(x1), 88185(x23)
Preferred Specimen
5-10 mL whole blood from a large dark green (sodium heparin) tube AND 3 mL whole blood from a lavender EDTA tube.
Minimum Volume
2 mL
Instructions
Generally ordered by Oncology physicians. This is a complete hematologic evaluation (i.e. leukemia, lymphoma, others). Interpretation is done by Hoag Pathologist, Anatomic Pathology. All results for Flow, Peripheral Blood will be available in EPIC.
LAB: ROUTINE or STAT ORDERS RECEIVED 0600 - 1900 (1ST & 2nd Shift):**After hour orders/OUTPATIENT ORDERS must be accompanied by a photocopy of doctor's order
1. Make 2 stained peripheral smears from EDTA tube.
2. Run CBC w/Diff (If one run within past 48 hours make a copy from EPIC).
3. Take NaHep tube, CBC w/Diff, smears and EPIC Order/Requisition to Pathology for processing to Neogenomics.
4. Request CLS cancel and credit the LAB1729 with comment "Processed by Pathology"
ROUTINE ORDERS RECEIVED 1900-0600 (3rd Shift):
1. Make 2 stained peripheral smears from EDTA tube.
2. Run CBC w/Diff (If one run within past 48 hours make a copy from SQ).
3. SAVE NaHep tube, CBC w/Diff report, stained smears, EPIC Order/Requisition for Pathology Dept.
4. Deliver to Pathology in the morning for processing to NeoGenomics.
5. Request CLS cancel and credit the LAB1729 with comment "Processed by Pathology"
STAT ORDERS RECEIVED 1900-0600 (3rd Shift) - send STAT to NeoGenomics 866-776-5907.
1. Make 2 stained peripheral smears from EDTA tube.
2. Run CBC w/Diff (If one run within past 48 hours make a copy from EPIC).
3. REFERENCE will process & send out - Call for STAT Courier pickup.
4. Fill out NeoGenomics requisition marking "Technical" for Flow Cytometry. (see below) Send NaHep only to NeoGenomics.
5. SAVE EDTA tube, CBC w/Diff report, stained smears, EPIC Order Requisition for Pathology.
6. Indicate on EPIC Order Requisition that sample has been sent STAT to NeoGenomics
7. Deliver 2 smears and. paperwork to Pathology in the morning for Pathologist review and interpretation.
LAB SPECIMEN PROCESSING: Do NOT centrifuge tubes. Do NOT refrigerate. Maintain samples at room temperature ONLY. Sodium Heparin preferred. Lavender top EDTA accepted only if only sample drawn.
NeoGenomics available for STAT pickups 24/7 as necessary. To Complete a NeoGenomics requisition for STATs between 1900-0600:
- At BILL: mark "Insurance" or "Hospital"
-At PATIENT TYPE, mark one: +Inpatient +Outpatient
-At DIAGNOSIS, -Include Physician phone and fax #
-Include EPIC Accession Number
-Mark "comprehensive Leukemia/Lymphoma" under the "Technical-only Flow Panels" >
For STATs sent to NeoGenomics place a photocopy of NeoGenomics requisition in folder for billing
- Print a patient Facesheet from EPIC to send with Requisition
- Place in NeoGenomics pickup box and record on Log.
If requested from NeoGenomics, do NOT provide ICD-10 codes. Refer them to ordering physician for this information.
LAB: ROUTINE or STAT ORDERS RECEIVED 0600 - 1900 (1ST & 2nd Shift):**After hour orders/OUTPATIENT ORDERS must be accompanied by a photocopy of doctor's order
1. Make 2 stained peripheral smears from EDTA tube.
2. Run CBC w/Diff (If one run within past 48 hours make a copy from EPIC).
3. Take NaHep tube, CBC w/Diff, smears and EPIC Order/Requisition to Pathology for processing to Neogenomics.
4. Request CLS cancel and credit the LAB1729 with comment "Processed by Pathology"
ROUTINE ORDERS RECEIVED 1900-0600 (3rd Shift):
1. Make 2 stained peripheral smears from EDTA tube.
2. Run CBC w/Diff (If one run within past 48 hours make a copy from SQ).
3. SAVE NaHep tube, CBC w/Diff report, stained smears, EPIC Order/Requisition for Pathology Dept.
4. Deliver to Pathology in the morning for processing to NeoGenomics.
5. Request CLS cancel and credit the LAB1729 with comment "Processed by Pathology"
STAT ORDERS RECEIVED 1900-0600 (3rd Shift) - send STAT to NeoGenomics 866-776-5907.
1. Make 2 stained peripheral smears from EDTA tube.
2. Run CBC w/Diff (If one run within past 48 hours make a copy from EPIC).
3. REFERENCE will process & send out - Call for STAT Courier pickup.
4. Fill out NeoGenomics requisition marking "Technical" for Flow Cytometry. (see below) Send NaHep only to NeoGenomics.
5. SAVE EDTA tube, CBC w/Diff report, stained smears, EPIC Order Requisition for Pathology.
6. Indicate on EPIC Order Requisition that sample has been sent STAT to NeoGenomics
7. Deliver 2 smears and. paperwork to Pathology in the morning for Pathologist review and interpretation.
LAB SPECIMEN PROCESSING: Do NOT centrifuge tubes. Do NOT refrigerate. Maintain samples at room temperature ONLY. Sodium Heparin preferred. Lavender top EDTA accepted only if only sample drawn.
NeoGenomics available for STAT pickups 24/7 as necessary. To Complete a NeoGenomics requisition for STATs between 1900-0600:
- At BILL: mark "Insurance" or "Hospital"
-At PATIENT TYPE, mark one: +Inpatient +Outpatient
-At DIAGNOSIS, -Include Physician phone and fax #
-Include EPIC Accession Number
-Mark "comprehensive Leukemia/Lymphoma" under the "Technical-only Flow Panels" >
For STATs sent to NeoGenomics place a photocopy of NeoGenomics requisition in folder for billing
- Print a patient Facesheet from EPIC to send with Requisition
- Place in NeoGenomics pickup box and record on Log.
If requested from NeoGenomics, do NOT provide ICD-10 codes. Refer them to ordering physician for this information.
Transport Container
Original container
Transport Temperature
Refrigerate
Specimen Stability
Specimens should be received at NeoGenomics within 72 hours from collection to assure sample integrity and acceptable cell viability. Samples that exceed 72 hours will still be ran with disclaimer results not guaranteed.
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Frozen Samples
Methodology
Flow Cytometry
FDA Status
Approved
Setup Schedule
Daily
Report Available
1-2 days
Reference Range
Included with report
Clinical Significance
Useful to aid in diagnosis of leukemia and lymphoma, and for post-treatment follow-up.
Performing Laboratory
NeoGenomics Laboratories, Aliso Viejo, California
Additional Information
Standard Leukemia/Lymphoma Panel - 24 markers
