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93279: PD-L1 Lung (Pembrolizumab), IHC Print View
Paraffin Block Number:      
Primary Tumor Site:      
Collection Site:      
Tumor Type:      
Stage:      
Grade:      
Oncologist Name:      
Oncologist NPI:      
Pathologist Name:      
Pathologist NPI:      
Quest Internal Number:      
Tumor Proportion Score     % 

PRIMARY
1 FFPE Tissue (Block/Slide) 1 (1) g   Refrigerated - 12 Month(s)/Room Temperature - 12 Month(s)  
ALTERNATE
  5 Unstained Charged(+) Sl   Room Temperature - 30 Day(s)/Refrigerated - 30 Day(s)  

The PD-L1 pharmaDx qualitative assay is intended for use in the detection of PD-L1 in formalin-fixed, paraffin embedded (FFPE) non-small cell lung carcinoma (NSCLC). PD-L1 IHC 22C3 pharmDx is indicated as an aid in identifying NSCLC patients for treatment with KEYTRUDA (pembrolizumab).

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
specimens.
Setup Schedule
Monday-Friday

Reported (Analytical Time)
3 days

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
Specimen Requirements:
Preferred: Formalin-fixed, paraffin-embedded (FFPE) tissue block submitted in IHC specimen transport kit
Acceptable: 5 unstained charged(+) slides (5 slides minimum) submitted in IHC specimen transport kit

Specimen Stability:
Paraffin Block: Room temperature and Refrigerated: 5 years
Slides: Room temperature and Refrigerated: 30 days
All specimens: Frozen: Unacceptable

Reject Criteria: Cytology cell block; decalcified specimens; fixatives other than formalin; baked or melted slides; previously stained slides; cytospins; lung cancer specimens (primary or metastatic) are the only acceptable tissues type, other tissue types submitted will be rejected

Transport Temperature: Room temperature
Methodology: Immunohistochemical Stain






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