Mammaglobin, IHC without Interpretation

Test Code

CPT Codes

Preferred Specimen
Formalin-fixed paraffin embedded tissue

Other Acceptable Specimens
3 slides unstained, positively charged slides

Transport Container
IHC specimen transport kit

Transport Temperature
Room temperature

Specimen Stability
Room temperature: Indefinitely
Refrigerated: Indefinitely
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received frozen


Setup Schedule
Set up: Mon-Fri (Morning); Report available: Next day

Reference Range
See Laboratory Report

Clinical Significance
Mammaglobin, a very large complex glycoprotein, is identified in up to 85% of primary and metastatic breast carcinomas.

Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153

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.