HER-2, IHC with Interpretation

Test Code

MDFCPHIHC30316 or 30316

CPT Codes
88360

Preferred Specimen

Formalin-fixed, paraffin embedded tissue in IHC specimen transport kit

Other Acceptable Specimens

4-micron unstained sections (x10)

Instructions

Tumor paraffin block (formalin-fixed only) or five 4-micron unstained sections on Poly-L-Lysine or Silane coated slides. See Specimen Collection Section, Oncology. Please submit stained H & E slide and a copy of the pathology report. Do not place paper labels with adhesive backing on slides. Use pencil or xylene resistant pen to write on the frosted end of the slide only.

Invasive or metastatic breast cancer formalin fixed paraffin embedded tissue or charged/+slides from formalin fixed paraffin embedded tissue. Specimen MUST be fixed in 10% neutral buffered formalin. Fixation between 6 and 72 hours is recommended.

Pathology report must accompany paraffin block or slides. Information required in this report include: Physician identification, specimen identifiers (case and block number), specimen site and type, tissue processing used (routine or microwave), type of fixative, time and duration of fixation, pathologic diagnosis, and IHC score, if performed elsewhere.

Ship at room temperature. Do not freeze.

Transport Temperature

Room temperature

Specimen Stability

Room temperature: Preferred
Refrigerated: Acceptable
Frozen: Unacceptable

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

Non-invasive tumors

Methodology
Immunohistochemical Assay

Setup Schedule

Mon-Sat

Report Available

2-3 days

Reference Range

See Laboratory Report

Performing Laboratory
AmeriPath, Texas

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.