Severe Combined Immunodeficiency (SCID) Panel, Flow Cytometry with CBC

Test Code
90414


CPT Codes
85025, 86355, 86356 (x5), 86357, 86359, 86361<br><strong>This test is not available for New York patient testing.</strong>

Includes
CBC (includes Differential and Platelets), and Phenotyping


Preferred Specimen
Whole blood collected in 1 full EDTA (lavender-top) tube


Minimum Volume
1-5 mL


Instructions
Specimen must be received in the testing lab within 48 hours of collection. Submit Monday through Thursday only.

Maintain and transport blood at room temperature. Avoid temperatures <15 degrees Celsius and >37 degrees Celsius. In hot weather, it may be necessary to pack the specimen in a container with insulating material around it and place this container inside another that contains a cold pack (ice pack) and absorbent material. This method will help retain the specimen at ambient temperature. For longitudinal studies, draw samples at the same time of day to minimize diurnal variation.

Clients: Contact the lab prior to ordering for special logistics arrangements.

PSC: Follow Short Stability Protocol.

Test available by prior arrangement only. Special sample collection and transportation arrangements must be made prior to ordering the test. Contact your local Customer Service department and request to speak to someone in Referral Testing department for specific instructions.

Submit Monday through Thursday only. Do not draw day before a holiday. Samples received > 48 hours after collection will be rejected. Date and time of draw are required and must be provided.

*Volumes less than 1 mL should be submitted in a Pediatric EDTA tube


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis • Clotted • Received frozen


Methodology
Flow Cytometry (FC)

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics Nichols. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Tues-Fri; Report available: 3-7 days


Reference Range
See Laboratory Report


Clinical Significance
Immunophenotypic analysis may assist in evaluating cellular immunocompentency in suspected cases of primary and secondary immunodeficiency states.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042



Last Updated: October 3, 2019


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.