PD-L1 Non-Lung (Pembrolizumab), IHC

Test Code
36260


CPT Codes
88360

Preferred Specimen
Formalin-fixed, paraffin-embedded (FFPE) tissue collected in IHC specimen transport kit


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


Instructions
Tumor primary is not one of the specific types available for this FDA approved test.

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
FFPE
Room temperature: 5 years
Refrigerated: 5 years
Frozen: Unacceptable

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 • Cytology cell block • Decalcified specimens


Methodology
Immunohistochemical Stain

Setup Schedule
A.M. Sets up 5 days a week.


Report Available
Reports in 3 to 5 days.


Clinical Significance
PD-L1 IHC 22C3 pharmDx is indicated as an aid in identifying patients for treatment with KEYTRUDA® (Pembrolizumab). This FDA approved test currently is applicable only to specific tumor types.

For non-FDA approved test indications or sample types, order 94007-PD-L1, IHC with Interpretation.

For other FDA approved primary tumors, please order the following:
For NSCLC order 93279-PD-L1 Lung (Pembrolizumab), IHC, 93359-PD-L1 Lung (Nivolumab), IHC or 94480-PD-L1 Lung (Atezolizumab), IHC; for urothelial bladder carcinoma order 94047-PD-L1 Bladder (Atezolizumab),IHC.




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.