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19214: HER-2, IHC, without Interpretation Print View
Paraffin Block Number      
Primary Tumor Site      
Quest Internal Number      
HER-2 IHA     
Slides/Block mailed on      

PRIMARY
1 Tissue Paraffin Block   Refrigerated - 12 Month(s)/Room Temperature - 12 Month(s)  
ALTERNATE
  Slides (5-Unstained)   Refrigerated - 12 Month(s)/Room Temperature - 12 Month(s)  

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. Please submit stained H & E slide and a
copy of the pathology report. 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. Invasive or metastatic breast cancer
formalin fixed paraffin embedded tissue or charged/+slides from
formalin fixed paraffin embedded tissue. Specimen MUST be fixed in
10% neutral buffered formalin. Fixation between 6 and 48 hours is
recommended. Pathology report must accompany paraffin block or slides.
Information required in this report include: Physician identification,
specimen identifiers (case and block number), specimen site and type,
tissue processing used (routine or microwave), type of fixative, time
and duration of fixation, pathologic diagnosis, and IHC score, if
performed elsewhere. Ship at room temperature. Do not freeze.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Same day

CPT Code
88360

The CPT codes provided 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 payer being billed.

Notes
Reject Criteria: Non-invasive tumors






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