PD-L1 Lung (Atezolizumab), IHC

Test Code
MDFCPIHC94480 or 94480


CPT Codes
88360

Preferred Specimen
Formalin-fixed paraffin-embedded tissue, NSCLC collected in an IHC specimen transport kit


Other Acceptable Specimens
5 unstained charged(+) slides in an IHC specimen transport kit


Instructions
FFPE: State any other type of fixative used. A pathology report which includes the paraffin block number, and both macroscopic and microscopic evaluation and diagnosis, should be sent with the specimen.


Transport Temperature
Room temperature


Specimen Stability
Formalin-fixed paraffin-embedded tissue:
Room temperature: 5 years
Refrigerated: 5 years
Frozen: Unacceptable

Unstained charged(+) slides:
Room temperature: 30 days
Refrigerated: 30 days
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Baked or melted slides; previously stained slides; cytospins; tissue types other than lung cancer specimens; cytology cell block; decalcified specimens; fixatives other than formalin; non small cell lung (NSCLC) cancer specimens (primary or metastatic) are the only acceptable tissue type, other tissue types submitted will be rejected


Methodology
Immunohistochemical Stain

Setup Schedule
Mon-Fri


Report Available
3-5 days from receipt


Reference Range
See Laboratory Report


Clinical Significance
TECENTRIQ is the first FDA-approved anti-PD-L1 cancer immunotherapy which is indicated for the treatment of patients with metastatic non-small cell lung cancer (NSCLC) who have disease progression during or following platinum- containing chemotherapy. Determining a patient's PD-L1 expression level can provide insight into the survival benefit that may be achieved from treatment with TECENTRIQ. PD-L1 expression in ≥50% tumor cells (TC) or ≥10% tumor-infiltrating immune cells (IC) (lymphocytes, macrophages, dendritic cells, and granulocytes) determined by VENTANA PD-L1 (SP-142) Assay/Quest PD-L1 Lung (Atezolizumab) in non-small cell lung cancer tissue may be associated with enhanced overall survival from TECENTRIQ (atezolizumab).


Performing Laboratory
AmeriPath North 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.