Prosigna® Breast Cancer Prognostic Gene Signature Assay

Test Code
92125


CPT Codes
81520

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


Other Acceptable Specimens
6 unstained 10-micron slides in tissue transport kit


Instructions
Formalin-fix (10% neutral buffered formalin) and paraffin embed excised tissue. Protect from excessive heat. Transport tissue block or 6 unstained 10-micron slides (minimum: 3 slides). Transport block(s) and/or slide(s) in a tissue transport kit (recommended but not required). Surgical pathology report required.


Transport Temperature
Room temperature


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


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens fixed/processed in alternative fixatives • (alcohol, Prefer) • Decalcified specimens • Needle core biopsy • <10% tumor


Methodology
Hybridization/gene expression

Setup Schedule
Set up: Varies; Report available: 12-14 days


Clinical Significance
Assess the risk of distant recurrence in post-menopausal women with early stage (stage I or stage II), hormone receptor-positive (ER+ and/or PR+) breast cancer. Useful in both node-negative and node-positive (1-3 nodes) disease.




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.