Ki-67 IHC pharmDx (Abemaciclab) with Interpretation

Test Code
11800


CPT Codes
88360

Preferred Specimen
1 block tissue collected in a formalin-fixed, paraffin- embedded tissue block


Other Acceptable Specimens
5 unstained, positive (+) charged slides


Instructions
Please submit a copy of the pathology report. Send specimen to lab for testing determination. Do not freeze. Do not reject.

Fixation in 10% neutral buffered formalin between 6 and 72 hours is recommended. Tissues processed with other fixatives and other fixation times have not been validated and are not recommended. Other tissue preparations (e.g., cytology specimens, fine-needle aspirates or bone decalcifications) have not been validated.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: Preferred
Refrigerated: Acceptable
Frozen: Unacceptable


Methodology
Immunohistochemistry

Setup Schedule
Set up: Mon-Sat; Report available: 3-5 days


Clinical Significance
Ki-67 IHC pharmDx (abemaciclab) is FDA-approved as an aid in identifying patients who specifically have HR-positive/ HER2-negative/node-positive breast cancer at high risk of disease recurrence and who are being considered for adjuvant treatment with Verzenio® (abemaciclib) in combination with endocrine therapy.
Ki-67 protein expression in breast carcinoma is determined by using the Ki-67 pharmDx Score, which is the overall percentage of viable tumor cells in the invasive cancer component showing Ki-67 nuclear staining. The specimen should be considered to have Ki-67 expression if Ki-67 pharmDx Score is > or = 20%.




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.