CD21, IHC without Interpretation

Test Code
40016X


Preferred Specimen
Formalin fixed paraffin embedded tissue in an IHC specimen transport kit


Other Acceptable Specimens
4-micron unstained slides (x5) • Fixed tissue


Instructions
Tumor paraffin block (formalin-fixed only) or five 4-micron unstained sections on Poly-L-Lysine or Silane
coated slides. See Specimen Collection Section, Oncology. Ship at room temperature. Do not place
paper labels with adhesive backing on slides.
Use pencil or xylene resistant pen to write on the
frosted end of the slide only. Pathology report is required.


Transport Temperature
Room temperature


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


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Tissue in formalin


Methodology
Immunohistochemistry (IHC)

Setup Schedule
A.M.


Clinical Significance
CD21 antigen is a type I integral membrane glycoprotein of molecular weight 140 kD, which functions as
the receptor for the C3d fragment of the third complement component. The CD21 molecule, present on
mature B cells, is involved in transmitting growth-promoting signals to the interior of the B cell and acts
as a receptor for Epstein-Barr virus. CD21 antigen is reported to be found in B cell chronic lymphocytic
leukemias and in a subset of T cell acute lymphocytic leukemias, but is absent on T lymphocytes, monocytes and granulocytes. CD21 antigen is also reported to be expressed in follicular dendritic cells
and in follicular and centrocytic lymphomas, mature leukemias and lymphomas and at high density in
follicular dendretic cells.




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.