NOW AVAILABLE ONLINE ORDERING AND RESULTS VIEWING

Transcription

1 BLOODCENTER OF WISCONSIN DIAGNOSTIC LABORATORIES NOW AVAILABLE ONLINE ORDERING AND RESULTS VIEWING Diagnostic Laboratories at BloodCenter of Wisconsin is pleased to offer online ordering and resulting. Here are just some of the advantages online ordering can offer you: 24/7 access. Order testing and view results any time. Secure website. You control user access so no unauthorized persons have access to patient data. Easy to use. Simply type the information into your customized ordering page. Efficient. No need to spend time searching for, manually preparing and faxing paper requisitions. Results are available as soon as they are complete. No more waiting for faxes or mailed copies to arrive. Start Using Labtest Today Contact a Customer Support Specialist to get signed up call (800) select menu option 1 Labinfo@bcw.edu or visit our website for more information

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3 BLOODCENTER OF WISCONSIN DIAGNOSTIC LABORATORIES BloodCenter of Wisconsin advances patient care by delivering life-saving solutions grounded in unparalleled medical and scientific expertise. Organization of this Directory of Services We intend this directory of services to be used as a guide by clinical laboratory scientists, physicians, and referral specialists. The directory is organized according to these sections: Laboratory Information At-a-Glance Listing of BloodCenter contacts Individual laboratory descriptions and contact information Policies and procedures including instructions for sample collection, requisition preparation, and shipping Licenses and accreditations Alphabetical test list, including sample requirements and CPT codes Blank test requisitions Index of tests and profiles You are also invited to view this information at our website, Follow the link to Diagnostic Labs. Customer Feedback We welcome your recommendations for new laboratory services. Please call, , or contact us through our website with your suggestions and ideas

4 Laboratory Information At-a-Glance Laboratory/ Department Phone Number Fax Number Client Services ext Hemostasis ext Clinical Trials and Cell Therapy Services ext Histocompatibility ext Immunohematology ext Infectious Disease ext Molecular Diagnostics ext Molecular Oncology ext Platelet and Neutrophil Immunology For Inquiries via ext

5 Diagnostic Laboratories Executive Vice President, Chief Innovation Officer: Medical Director: Medical Director: Ilke Panzer Jerome L. Gottschall, MD Matthew W. Anderson, MD, PhD Client Services , option 1 Provides service and information regarding test availability, sample and shipping requirements, requisitions, reports, account management, billing, licenses, accreditation, and customer satisfaction. Manager: Candace Jardas (414) Candace.jardas@bcw.edu Individual Laboratories Clinical Trials and Cell Therapy Services , ext Collaborates with contract research organizations (CROs) and pharmaceutical, biotechnology, and medical device companies to fulfill clinical trial and other research needs. Provides testing services, custom assay development, and validation services. Vice President: Manager: Monika de Arruda Indig, PhD, MBA Sharon Graminske, BS, CCRC Hemostasis Reference Laboratory , ext Provides diagnostic testing for bleeding, thrombotic and fibrinolytic disorders. Specializes in assays to allow identification of the entire spectrum of von Willebrand disease, and in laboratory evaluation of inherited and acquired thrombotic tendencies. Medical Director: Director: Manager: Technical Specialist: Kenneth D. Friedman, MD Sandy Haberichter, PhD Allison Ujcich, MBA, BSA Jan Endres, MT(ASCP)

6 Histocompatibility Laboratory , ext Provides state of the art testing for HLA Class I and Class II in order to help identify the best possible donor for a patient in need of a transplant. Supports bone marrow and solid organ transplant programs with cutting-edge diagnostics to assist the clinician with patient management and immunologic risk assessment, both pre- and post-transplant. Methodologies include molecular HLA typing strategies, HLA antibody assessment, crossmatching, and other tools to assess donor/recipient compatibility. Director: Supervisor: Technical Specialist: Jennifer J. Schiller, PhD, Diplomate(ABHI) Rita M. Glumm, CHS(ABHI) Karen L. Pierce, CHS(ABHI) Immunohematology Reference Laboratory , ext Provides specialized testing for patients with unusual transfusion-related problems, including druginduced and autoimmune hemolytic anemias. This laboratory is an AABB-accredited Immunohematology Reference Laboratory. Medical Director: Director: Manager: Jerome L. Gottschall, MD Gregory A. Denomme, PhD Michael Schanen, MT(ASCP)SBB Molecular Diagnostics Laboratory , ext Utilizes nucleic acid-based testing for a variety of clinical applications, including testing for genetic diseases, oncology markers, and engraftment assessment following bone marrow transplant. Additional services include platelet, neutrophil and red cell alloantigen genotyping to resolve suspected maternal/fetal incompatibility. Director: Scientist: Director of Genetics: D.P. Dash, PhD Valerie Trapp-Stamborski, PhD Lijun Wang, MD, PhD

7 Molecular Oncology Laboratory , ext Offers molecular testing for diagnostic and prognostic markers within acute myeloid leukemia (AML), myeloproliferative neoplasms (MPN), and chronic myelogenous leukemia (CML). Our AML and MPN testing menus are built around testing algorithms as recommended by NCCN and WHO. Director: Supervisor: D.P. Dash, PhD Laura Wise Platelet and Neutrophil Immunology Laboratory , ext Provides sample evaluation and clinical consultation regarding suspected drug-induced, autoimmune, and alloimmune thrombocytopenia. Specializes in drug-dependent platelet and neutrophil antibody analysis, diagnosis of neonatal alloimmune thrombocytopenia (NAIT), and platelet glycoprotein assays for Glanzmann Thrombasthenia and Bernard Soulier Syndrome. Consultant: Director: Manager: Medical Director: Richard H. Aster, MD Brian Curtis, PhD Allison Ujcich, MBA, BSA Dr. Ruchika Sharma, MD

8 Requisitions Requisitions preprinted with your name, address and client number are available from Client Services at , option 1. Blank requisitions are available for download on our website, by clicking the link to the Diagnostic Laboratories directory of services. Blank requisitions are also included in the back of this directory of services. Please complete the appropriate requisition with the patient's name or unique identifier and a second identifier (e.g., Social Security number), date of birth, gender, sample draw date and time, requesting institution with complete address, and specimen type and anticoagulant. Provide as much detail as available to allow us to make a complete evaluation. Please see the tutorial on our website for more information on completing requisitions. You may also utilize Labtest, BloodCenter s online ordering and results viewing tool. For information on setting up an account, please contact Client Services at , option 1 or Labinfo@bcw.edu Unacceptable Specimens Proper identification of specimens is essential to providing accurate laboratory results for the correct patient. The laboratory cannot accept unlabeled specimens, even when accompanied by paperwork bearing the patient's name. Incomplete or inaccurately labeled specimens will be evaluated to determine whether acceptable identification can be made and a report issued. If a sample is rejected for this reason, you will be notified by telephone and a report will be issued outlining the reason for rejection. Sample integrity is crucial to accurate test results. Samples can be compromised due to conditions during collection, storage, or transportation. The most frequent causes of unacceptable samples are hemolysis, inappropriate transport temperature, incorrect sample type and sample age. If a sample is unacceptable for testing, you will be notified by telephone. A report will be issued documenting that the sample was rejected. In some instances testing will be performed on a suboptimal sample after consultation with you. If you have any questions, please contact Client Services at , option

9 Shipping Requirements Diagnostic samples and/or infectious substances must be packaged in compliance with Department of Transportation (DOT), International Air Transport Association (IATA), and the requirements of the overnight carrier used. samples should be shipped on a minimum of 5 pounds of dry ice. Use only plastic tubes and cushion them to protect from breakage during shipment. Please be aware that dry ice is also considered a hazard for shipping and must be packaged in compliance with DOT, IATA, and the requirements of the overnight carrier used. Refrigerated samples should be shipped on ice packs. Protect samples from freezing by wrapping them in paper toweling. Samples should not be shipped on Saturday or the day before a holiday to ensure viability of the sample. While many samples are suitable for Saturday delivery, some may not be. Contact Client Services prior to sending for Saturday delivery to discuss stability. Ensure air bill is marked for Saturday delivery if applicable. If special circumstances arise, contact Client Services at , option 1. Shipping Address: Client Services/Name of Laboratory BloodCenter of Wisconsin 638 North 18th Street Milwaukee, WI Phone: , option

10 Policies Test Turn-around Time (TAT) Test turn-around times (TAT) listed are estimates. Some tests are infrequently performed, which may result in extended TAT. Please call if you need results by a specific date and time. We will do our best to meet your needs. Contact Client Services for special requests at , option 1. STAT Testing STAT testing is available for many of our assays. Some STAT tests require the approval of the laboratory director. Client Services or the appropriate laboratory will be able to advise you if STAT testing is available and what STAT charges will be applied. Test Cancellation Tests and panels can be canceled without charge if the notification is received before the sample has been processed. Please call Client Services at , option 1 to cancel an order. A final report will be issued to reflect the cancellation of the order. Results and Reports Final test results are routinely sent to the referring institution by fax and/or secure when all tests on a sample have been completed. This report includes interpretation of all test results. A complete interpretation of results is dependent on the clinical history that you include on the requisition. Some test results are available as interim reports. This includes individual tests which are resulted while other tests are in progress. Interpretation of results will be included only on the final report. Please contact Client Services if you would like to receive interim results. We now offer secure as an option for receiving patient results. Please contact our Client Services team at option 1 or at Labinfo@bcw.edu for further details. Test results are also available online. Contact Client Services at , option1 or at Labinfo@bcw.edu to enroll in Labtest, our online ordering and results viewing system. CPT Codes and Order Codes CPT and Order Codes are provided for reference purposes only and are subject to change. They are not intended as a guide for internal billing procedures. Institution is solely responsible for identification of correct billing codes

11 Billing Financial Responsibility BloodCenter of Wisconsin does not bill insurers or other third party payers except as noted below. The institution submitting the specimen for testing is responsible for payment. Medicaid and Medicare BloodCenter of Wisconsin bills the referring institution unless the patient is an outpatient Medicare enrollee or a Medicaid recipient from Wisconsin. If applicable, please complete the Medicare section on the back of the requisition. Patient Direct Payment If BloodCenter of Wisconsin does not contract with your facility or the patient s insurer for laboratory testing services, we can offer the option for your patient to pay directly for laboratory testing. We will accept a check, money order, VISA or MasterCard as advance payment. A paid invoice will be issued to the patient when the testing is completed. If testing is canceled prior to performance, BloodCenter of Wisconsin will issue a refund to the patient. Please find the Diagnostic Labs Patient Billing Information Form on Page 10. Important Information for Private Pay Patients If your current healthcare provider does not have a service contract with BloodCenter of Wisconsin, you may be required to pay out-of-pocket for laboratory testing services. This means that you, not your health insurer, will pay BloodCenter for the services. Before you agree to pay for laboratory testing services, it is very important that you understand that your health insurance company may not reimburse you at all, or may only reimburse you a fraction of the amount you pay to BloodCenter. If you have health insurance, typically your insurance provider will pay for services you receive from certain providers that are within the insurer s network. These providers are usually called in-network providers. Your insurance plan may also offer some coverage for services that you receive from out-of-network providers such as BloodCenter. Out-of-network providers usually do not have contracts with your insurance company and therefore do not submit bills directly to your insurance company. This means that you must pay the BloodCenter directly, and then ask your insurance company to pay you back. Depending on what your insurance policy says, your insurance company may not pay you back, or may only pay you back a small percentage of what you paid to BloodCenter. Tricare If your insurer is Tricare and you are a member of the military, please find the Diagnostic Labs Patient Billing Information Form Tricare on Page 11. International Customers International customers may contact BloodCenter via phone or to obtain wire transfer documents to utilize credit card payments. Invoices Invoices are issued on a weekly basis and are sent when a test has been completed. The institution referring the specimen is responsible for payment. Please submit all information for payment, including a purchase order number if required and billing address, on the requisition that is sent with the sample

12 Visit our website for a fillable PDF form:

13 Visit our website for a fillable PDF form:

14 Licenses You may view and download copies of our licenses at our website, Click the link to Diagnostics. If you prefer to receive a fax or hard copy of any of these licenses, please contact Client Services at , option 1 or Labinfo@bcw.edu. Accreditation AABB (006090) American Society for Histocompatibility and Immunogenetics (11-4-WI-04-1) California State Clinical Laboratory License (COS ) Centers for Medicare and Medicaid Services (CLIA certificate 52D ) College of American Pathologists ( ) Florida State Clinical Laboratory License ( ) Maryland Department of Health and Mental Hygiene (954) Medicaid (Provider Number for Wisconsin only) Medicare (Provider Number 84481) New York State Department of Health (4987) Pennsylvania Division of Laboratory Improvement (28864) Employer Identification Number (Federal Tax I.D.): National Provider Identifier: D&B D-U-N-S Number:

15 Special Processing Instructions Proper specimen collection and preparation is essential in order for us to provide a timely, accurate test result and interpretation. Please follow the sample collection requirements found in this directory of services. Follow detailed drawing and processing instructions on page 14 for all Hemostasis tests requiring frozen citrated plasma. If you have any questions, please contact Client Services at , option 1. Label each specimen tube or aliquot tube with the patient s name and a unique identifier (e.g., date of birth) and sample draw date and time. Please indicate on the tube if the sample is a bone marrow aspirate. Follow manufacturer instructions for proper use of drawing supplies. Pay careful attention that anticoagulated samples are properly mixed and are not hemolyzed. Use only plastic tubes when preparing samples that will be shipped on dry ice. Use black permanent markers or freezer tolerant labels for samples that will be stored or shipped at frozen temperatures. The use of serum separator tubes for clot samples is not recommended for the types of testing we perform. Current copies of our accreditations can be found using the link below: Accreditations: Current copies of our requisitions can be found using the link below:

16 Special Specimen Collection and Processing Instructions for Hemostasis Reference Laboratory Testing Specimen collection, processing, storage and shipping are critical to obtain accurate results for hemostasis tests. Please follow these instructions for all tests requiring frozen citrated plasma for the Hemostasis Reference Laboratory. See individual test entries for specific requirements. Drawing Samples Anticoagulant Collect blood in citrate (light blue top) vacuum tubes. The anticoagulant used for coagulation assays should be 105 to 109 mmol/l, 3.13% to 3.20% (commonly described as 3.2%) of the dihydrate form of trisodium citrate (Na3C6H5O7 2H2O), buffered or not buffered (light blue top vacuum tube). Blood/Anticoagulant Ratio The proportion of blood to the sodium citrate anticoagulant volume is 9:1. Inadequate filling of the collection tube will decrease this ratio, and may lead to inaccurate results. The final citrate concentration in the blood should be adjusted in patients who have hematocrit values above 55%. For hematocrits below 20%, there are no current data available to support a recommendation for adjusting the citrate concentration. Use the chart below to determine the amounts of anticoagulant. ml of Citrate for: Hct % 5 ml Sample 10 ml Sample Example: If Hct=58%, put 0.80 ml of anticoagulant into a plastic tube, draw blood and transfer 9.2 ml to the tube for a total sample volume of 10 ml. Or, fill syringe with 0.80 ml of anticoagulant and draw blood to the 10 ml mark. Sample Collection We prefer that the first tube drawn not be utilized for hemostasis testing. The venipuncture must not be traumatic or slow flowing; avoid leaving the tourniquet on for an extended time. Allow evacuated tubes to fill by vacuum completely. Invert tubes gently at least 4 times to mix. Keep samples capped and process immediately. Whole blood specimens should be transported and kept at room temperature. (Transportation of whole blood specimens on ice is not recommended for most coagulation assays.) Centrifuge sample, at room tempature, remove plasma, and freeze within 4 hours from the time of specimen collection. Hemolyzed or clotted specimens are unacceptable

17 Processing To obtain a plasma sample, the capped specimen tube should be centrifuged at a speed and time required to consistently produce platelet-poor plasma with a platelet count <10 x 10 9 /L (10,000/uL). This may be accomplished by centrifuging at 1,500 g for no less than 15 minutes at room temperature. If necessary, transfer plasma to a plastic tube and re-centrifuge to remove platelets. Removal of platelets before freezing is critical for the detection of lupus anticoagulants. Do not filter the plasma to remove platelets, as filtering removes high molecular weight von Willebrand factor. Using a plastic pipette, remove the top 2/3 of plasma, transfer to a labeled plastic tube and cap. Do not use glass tubes, as glass activates the hemostatic mechanism. Refer to individual test entries for sample volume and number of aliquots required for each test. Freeze plasma within 4 hours of specimen collection. Specimens stored at -80 o C are stable for 1 year. Samples stored at -20 o C are stable for 14 days. Consumer grade freezers that undergo automatic freeze/thaw cycles are not acceptable. Specimens must remain frozen during storage and shipment. Ship on dry ice with guaranteed overnight delivery. Refer to shipping instructions for more information. Storage The Hemostasis Reference Laboratory retains samples for 2 months following testing. Please call if additional testing is needed to determine if stored aliquots are available for additional testing. Portions of the above procedures are reproduced with permission, from Clinical and Laboratory Standards Institute publication H21 A5 - Collection, Transport, and Processing of Blood Specimens for Testing Plasma-Based Coagulation Assays and Molecular Hemostasis Assays; Approved Guideline-Fifth Addition (ISBN ). Copies of the current edition may be obtained from Clinical and Laboratory Standards Institute, 940 West Valley Road, Suite 1400, Wayne, Pennsylvania , USA

18 Histocompatibility Pediatric Sample Requirements ABO/Rh, HLA-A, B, C, DP, DR, DQ Typing Patient Age Tube Type Typing 0 1 year 3cc in lavender top / 3-4 buccal swabs 2cc in red top A, B, C, DP, DQ, DR low, int, or high res (DNA) ABO/Rh 1 5 years 5cc in lavender top / 3-4 buccal swabs 2cc in red top A, B, C, DP, DQ, DR low, int, or high res (DNA) ABO/Rh 5 10 years 7cc in lavender top / 3-4 buccal swabs 3cc in red top A, B, C, DP, DQ, DR low, int, or high res (DNA) ABO/Rh > 10 years 14cc in lavender top / 3-4 buccal swabs 5cc in red top A, B, C, DP, DQ, DR low, int, or high res (DNA) ABO/Rh

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20 ABO and Rh Clot Tube (red top) One 10 ml Clot Tube (red top) One 5 ml Clot Tube (red top) Refrigerated Immunohematology Reference Testing Serological CPT Codes: 86900, day ABO and Rh - Transplant Order Code: 2200 Test is performed in duplicate, and may be ordered for transplant patients or donors. Clot Tube (red top) One 10 ml Clot Tube (red top) One 5 ml Clot Tube (red top) CPT Codes: Histocompatibility Transplant Testing Serological 86900x2, 86901x2 1 day ABO Antibody Titer Order Code: 2113 Clot Tube (red top) One 10 ml Clot Tube (red top) - Do not separate serum from clot One 5 ml Clot Tube (red top) - Do not separate serum from clot Samples accepted Monday-Friday. Samples must be received in the laboratory no later than 10am on the day of testing. Histocompatibility Transplant Testing Serological CPT Codes: days ABO Antibody Titer Order Code: 3024 Clot Tube (red top) Two 7 ml Clot Tubes (red top) One 5 ml Clot Tube (red top) Immunohematology Reference Testing Serological CPT Codes: days

21 acgh Deletion/Duplication Analysis Order Code: 4800 Fetal: Amniotic Fluid, CVS, Cultured Amniocytes or Cultured CVS; Parental/Patient: EDTA Whole Blood If sending DNA, client must send >1µg of DNA at >50ng/µl. Genes: ACTN1, ACVRL1, ADAMTS13, BLOC1S3, BLOC1S6, C3, C4BPA, C4BPB, CD46, CFB, CFH, CFHR1, CFHR3, CFHR4, CFHR5, CFI, COL1A1, CYCS, DGKE, ELANE, ENG, F10, F11, F13A1, F2, F5, F7, F8, F9, FGA, FGB, CPT Codes: Hematology Genetics array Comparative Genomic Hybridization Tcodes 21 days ADAMTS13 Activity Order Code: 1298 Citrated Plasma (light blue top) 0.5 ml 0.2 ml Citrated plasma (preferred), serum, or whole blood (light blue or red top tube) stored at room temperature or refrigerated up to is acceptable. Whole blood must be centrifuged and plasma or serum sent for testing. EDTA samples are not acceptable. CPT Codes: days Hemostasis Testing FRET-Based Kinetic Assay Test Schedule: Performed 5 days per week (Monday through Friday); usually reported same day ADAMTS13 Antibody Order Code: 1299 The antibody assay detects IgG antibody serologically by ELISA. Citrated Plasma (light blue top) 0.5 ml 0.2 ml Citrated plasma (preferred), serum, or whole blood (light blue or red top tube) stored at room temperature or refrigerated up to is acceptable. Whole blood must be centrifuged and plasma or serum sent for testing. EDTA samples are not acceptable. Hemostasis Testing ELISA CPT Codes: Test Schedule: Performed once per week

22 ADAMTS13 Evaluation Order Code: 1295 ADAMTS13 Evaluation is a reflexive testing algorithm. Activity is always performed. If activity result is <= 30%, the inhibitor assay (1297) will be performed. If inhibitor result is <= 0.7 Inhibitor Units, the antibody assay (1299) will be performed. Citrated Plasma (light blue top) Three 0.5 ml aliquots Two 0.4 ml aliquots Citrated plasma (preferred), serum, or whole blood (light blue or red top tube) stored at room temperature or refrigerated up to is acceptable. Whole blood must be centrifuged and plasma or serum sent for testing. EDTA samples are not acceptable. CPT Codes: Hemostasis Testing See Individual Tests 85397, (if inhibitor is performed), (if antibody is performed) Activity: 1-3 days; Inhibitor: 2-4 days; Antibody: Test Schedule: Performed 5 days per week (Monday through Friday) ADAMTS13 Inhibitor Order Code: 1297 The inhibitor assay measures antibodies that inhibit ADAMTS13 function by mixing study. Citrated Plasma (light blue top) 0.5 ml 0.4 ml Citrated plasma (preferred), serum, or whole blood (light blue or red top tube) stored at room temperature or refrigerated up to is acceptable. Whole blood must be centrifuged and plasma or serum sent for testing. EDTA samples are not acceptable. CPT Codes: Hemostasis Testing FRET-Based Kinetic Assay 2-4 days Test Schedule: Performed 5 days per week (Monday through Friday) ADAMTS13 Sequence Analysis Order Code: 1300 Fetal: Amniotic Fluid, CVS, Cultured Amniocytes or Cultured CVS; Parental/Patient: EDTA Whole Blood Hematology Genetics PCR and Bi-directional DNA Sequencing CPT Codes: days

23 AHF Order Code: 1081 Order Name: Factor VIII Activity Citrated Plasma (light blue top) Two 0.5 ml aliquots 0.4 ml Hemostasis Testing Clotting CPT Codes: days ahus Complement Profile Includes: CD46 (MCP) Expression, C3, C4, Factor B, Factor H, Factor H Autoantibody, and Factor I K2 EDTA Whole Blood and Serum (red top - no serum separator) 3 ml K2 EDTA Whole Blood and Two 2 ml aliquots Serum 1 ml K2 EDTA Whole Blood and One 2 ml aliquot Serum Whole Blood-ship ambient, Serum-ship on dry ice Whole Blood: Must be received within 24 hours of collection, M-F only. Contact laboratory prior to sending sample. Serum: Spin down and separate from clot. Freeze within 2 hours of collection. Avoid freeze/thaw cycles. Stable up to 6 months. Hemostasis Testing See Individual Tests CPT Codes: 86160x5, 83516, 88184, days ahus/ddd Genetic Evaluation Order Code: 1200 Fetal: Amniotic Fluid, CVS, Cultured Amniocytes or Cultured CVS; Parental/Patient: EDTA Whole Blood Hematology Genetics Capture Hybridization and Next Generation Sequencing (MiSeq) CPT Codes: 81406, days Alloadsorption Case Dependent Refrigerated Contact laboratory prior to drawing sample. CPT Codes: Immunohematology Reference Testing Serological (per adsorption) 1-3 days

24 AML Familial Evaluation (CEBPA) Order Code: 4639 EDTA Whole Blood or EDTA Bone Marrow or Buccal Swabs or DNA (High Quality) 2-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or 6-8 Buccal Swabs or High Quality DNA >= 500 ng at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample is whole blood or bone marrow. CPT Codes: days Molecular Oncology Testing PCR and Direct DNA Sequencing Test Schedule: Performed 5 days per week (Monday through Friday) AML Mutation Panel Order Code: 4619 Includes: FLT3, NPM1 and CEBPA. FLT3 Mutation testing performed by Laboratory for Personalized Molecular Medicine (LabPMM) of San Diego, California pursuant to patents licensed from Takara Bio of Otsu, Japan. EDTA Whole Blood or EDTA Bone Marrow or DNA (High Quality) 2-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or High Quality DNA (60ul) >= 1.5 ug at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample/dna is from whole blood or bone marrow. Molecular Oncology Testing PCR and Capillary Electrophoresis, PCR and Direct DNA Sequencing CPT Codes: 81245, 81246, 81310, days Test Schedule: Performed 5 days per week (Monday through Friday) AML Mutation Panel - Reflex Order Code: 4627 FLT3 Mutation Analysis is always performed. If FLT3 is negative, NPM1 Mutation Analysis is performed at an additional charge. If NPM1 is negative, CEBPA Mutation Analysis is performed at an additional charge. FLT3 Mutation testing performed by LabPMM. EDTA Whole Blood or EDTA Bone Marrow or DNA (High Quality) 2-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or High Quality DNA (60ul) >= 1.5 ug at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample/dna is from whole blood or bone marrow. Molecular Oncology Testing See Individual Tests CPT Codes: FLT3: 81245, 81246; NPM1: 81310; CEBPA: FLT3: 7-10 days; NPM1 Reflex: 3-6 additional days; CEBPA Reflex: 5-10 additional days Test Schedule: Performed 5 days per week (Monday through Friday)

25 AML post-flt3 Comprehensive Mutation Panel Order Code: 7640 Includes: NPM1, CEBPA, DNMT3A, IDH1, IDH2. Panel assumes a prior FLT3 result. If FLT3 mutation testing is needed, also request order code 4635 to be performed concurrently. EDTA Whole Blood or EDTA Bone Marrow or DNA (High Quality) 3-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or High Quality DNA (60ul) >= 1.5 ug at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample/dna is from whole blood or bone marrow. Molecular Oncology Testing PCR and Capillary Electrophoresis, PCR and Direct DNA Sequencing CPT Codes: 81310, 81403x3, days Antibody Identification Problem Order Code: 3060 Always includes: ABO/Rh, Direct Antiglobulin Test and one Ab ID. Based upon results as determined by IRL, additional tests may include: selected cell panel(s), selected cell screens(s), rare cell panel(s), and pertinent antigen typing(s). Clot Tubes (red top) and EDTA Whole Blood Immunohematology Reference Testing Three 7 ml Clot Tubes (red top) and 5 ml EDTA Whole Blood Refrigerated CPT Codes: Serological Case dependent 3 days Antibody Titration Workup Order Code: 3080 Clot Tubes (red top) and EDTA Whole Blood Immunohematology Reference Testing Three 7 ml Clot Tubes (red top) and 5 ml EDTA Whole Blood Refrigerated Serological 3 days Anticardiolipin Antibody Order Code: 1191 Includes: IgG and IgM. Citrated Plasma (light blue top) Hemostasis Testing 0.5 ml ELISA 0.2 ml CPT Codes: 86147x2

26 Anti-Hemophilic Factor Order Code: 1081 Order Name: Factor VIII Activity Citrated Plasma (light blue top) Two 0.5 ml aliquots 0.4 ml Hemostasis Testing Clotting CPT Codes: days Antiphospholipid Antibody Profile Order Code: 1190 Includes: Lupus Anticoagulant, Anticardiolipin Antibody IgG and IgM and Beta 2 Glycoprotein I Antibody IgG and IgM. Citrated Plasma (light blue top) Two 0.5 ml aliquots and two 2 ml aliquots Two 1 ml aliquots Hemostasis Testing Clotting, ELISA CPT Codes: 86147x2, 85730x2, 85613x2, 86146x days Anti-Platelet Antibodies Order Code: 5543 Order Name: Platelet Antibody Screen Serum 5 ml Serum 1 ml Serum Refrigerated (If already frozen, send on dry ice) Sample should be spun down and taken off the clot. Sample must be received within of draw date if refrigerated. Older serum samples are acceptable if they have been frozen. CPT Codes: days Flow Cytometry Arixtra (Fondaparinux) Level Order Code: 1009 This test is only valid for monitoring patients on Arixtra (fondaparinux), not unfractionated heparin or low molecular weight heparin. Citrated Plasma (light blue top) 0.5 ml 0.3 ml Sample should be drawn approximately 3 hours after injection. CPT Codes: Hemostasis Testing Anti-Xa Chromogenic 2 days Test Schedule: Performed 5 days a week (Monday - Friday)

27 ASXL1 Mutation Analysis Order Code: 4662 EDTA Whole Blood or EDTA Bone Marrow or DNA (High Quality) 2-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or High Quality DNA >= 500 ng at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample/dna is from whole blood or bone marrow. CPT Codes: days Molecular Oncology Testing PCR and Bi-directional DNA Sequencing Autoadsorption Case Dependent Refrigerated Contact laboratory prior to drawing sample. CPT Codes: Immunohematology Reference Testing Serological 86977, (per adsorption) 1-3 days Autoimmune Hemolytic Anemia Clot Tubes (red top) and EDTA Whole Blood No transfusion(s) in past three months: Hgb <5.0 g/dl draw: Three 7 ml Clot Tubes (red top) and ten 5 ml EDTA Whole Blood ; Hgb >5.0 g/dl draw: Three 7 ml Clot Tubes (red top) and three 7 ml EDTA Whole Blood Refrigerated Transfused within the past three months: 5 ml EDTA Whole Blood (lavender top) and three 10 ml Clot Tubes (red top). CPT Codes: Immunohematology Reference Testing Serological Case dependent 1-3 days

28 Bak a/b Platelet Antigen Genotyping Order Code: 5520 Order Name: Platelet Antigen Genotyping - HPA-3 Fetal: Amniotic Fluid, CVS, Cultured Amniocytes or Cultured CVS; Parental/Patient: EDTA Whole Blood PCR and Fluorescent Hydrolysis Probes CPT Codes: Test Schedule: Performed at least 3 times per week. BCR-ABL Breakpoint Analysis Order Code: 4504 Must be ordered only in conjunction with BCR-ABL Quantitative Analysis. No additional sample is required. EDTA Bone Marrow or EDTA Whole Blood 3-5 ml EDTA Bone Marrow or 10 ml EDTA Whole Blood Sample must be received within 48 hours of collection. Indicate on specimen tube and requisition whether sample is whole blood or bone marrow. Molecular Diagnostics Testing Capillary Electrophoresis CPT Codes: 81206, 81207, BCR-ABL Kinase Mutation Analysis Order Code: 4507 EDTA Bone Marrow or EDTA Whole Blood 3-5 ml EDTA Bone Marrow or 10 ml EDTA Whole Blood Sample must be received within 48 hours of collection. Indicate on specimen tube and requisition whether sample is whole blood or bone marrow. CPT Codes: days Molecular Diagnostics Testing PCR Sequence Analysis BCR-ABL Quantitative Analysis Order Code: 4502 EDTA Bone Marrow or EDTA Whole Blood 3-5 ml EDTA Bone Marrow or 10 ml EDTA Whole Blood Sample must be received within 48 hours of collection. Indicate on specimen tube and requisition whether sample is whole blood or bone marrow. CPT Codes: days Molecular Diagnostics Testing Quantitative Real-Time PCR

29 Bernard-Soulier Syndrome Order Code: 5545 Order Name: Platelet Glycoprotein Expression (PGE) Includes: GPIb (Bernard Soulier Syndrome) and GPIIb/IIIa (Glanzmann Thrombasthenia). ACDB Whole Blood (yellow top) on patient and unrelated normal donor control 5 ml 1 ml drawn in pediatric tube to maintain whole blood to ACDB ratio Refrigerated Samples accepted Tuesday-Friday only. Samples must be received within 2 days of draw date. Flow Cytometry CPT Codes: 88184, 88185, days Test Schedule: Assay scheduled as needed Bernard-Soulier Syndrome Sequence Analysis Order Code: 1290 Fetal: Amniotic Fluid, CVS, Cultured Amniocytes or Cultured CVS; Parental/Patient: EDTA Whole Blood CPT Codes: 81404, days Hematology Genetics PCR and Bi-directional DNA Sequencing Beta 2 Glycoprotein I Antibody Order Code: 1291 Includes: IgG and IgM. Citrated Plasma (light blue top) Hemostasis Testing 0.5 ml ELISA 0.2 ml CPT Codes: 86146x2 Bethesda Titer for Factor VIII Order Code: 1085 Order Name: Factor VIII Inhibitor Profile Includes: Factor VIII Activity and Factor VIII Inhibitor. Cannot be refrozen. Citrated Plasma (light blue top) Two 1 ml aliquots 1.5 ml Hemostasis Testing Clotting Bethesda Titer CPT Codes: 85240, 85335

30 Br a/b Platelet Antigen Genotyping Order Code: 5522 Order Name: Platelet Antigen Genotyping - HPA-5 Fetal: Amniotic Fluid, CVS, Cultured Amniocytes or Cultured CVS; Parental/Patient: EDTA Whole Blood PCR and Fluorescent Hydrolysis Probes CPT Codes: Test Schedule: Performed at least 3 times per week. C3 Order Code: 1501 Serum (Red Top - no serum separator) Two 2 ml aliquots One 2 ml aliquot Sample should be spun down, taken off the clot, and frozen within 2 hours of draw. Send on dry ice. serum stable up to 6 months. Avoid freeze/thaw cycles. Hemostasis Testing ELISA CPT Codes: days C4 Order Code: 1502 Serum (Red Top - no serum separator) Two 2 ml aliquots One 2 ml aliquot Sample should be spun down, taken off the clot, and frozen within 2 hours of draw. Send on dry ice. serum stable up to 6 months. Avoid freeze/thaw cycles. Hemostasis Testing ELISA CPT Codes: days

31 Ca a/b Platelet Antigen Genotyping Order Code: 5524 Order Name: Platelet Antigen Genotyping - HPA-6 Fetal: Amniotic Fluid, CVS, Cultured Amniocytes or Cultured CVS; Parental/Patient: EDTA Whole Blood PCR and Fluorescent Hydrolysis Probes CPT Codes: Test Schedule: Performed at least 3 times per week. CALR Mutation Analysis Order Code: 7630 EDTA Whole Blood or EDTA Bone Marrow or DNA (High Quality) 2-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or DNA >= 500 ng at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample/dna is from whole blood or bone marrow. CPT Codes: Molecular Oncology Testing PCR and Bi-directional DNA Sequencing Calreticulin Mutation Analysis Order Code: 7630 Order Name: CALR Mutation Analysis EDTA Whole Blood or EDTA Bone Marrow or DNA (High Quality) 2-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or DNA >= 500 ng at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample/dna is from whole blood or bone marrow. CPT Codes: Molecular Oncology Testing PCR and Bi-directional DNA Sequencing

32 CD19 and CD56 Enrichment Order Code: 4106 May be scheduled in conjunction with Engraftment. Sodium Heparin Whole Blood (green top) preferred. EDTA Whole Blood or Bone Marrow, or ACDA Whole Blood or Bone Marrow (yellow top) also acceptable. 14 ml Sample must be received within 24 hours of collection and may be drawn Monday through Thursday for delivery Tuesday through Friday. STAT not available for Friday delivery. CPT Codes: Molecular Diagnostics Testing Monoclonal Antibody Coupled Magnetic Beads 81268x2 1 day Test Schedule: Daily CD19 Enrichment Order Code: 4097 May be scheduled in conjunction with Engraftment. Sodium Heparin Whole Blood (green top) preferred. EDTA Whole Blood or Bone Marrow, or ACDA Whole Blood or Bone Marrow (yellow top) also acceptable. 14 ml Sample must be received within 24 hours of collection and may be drawn Monday through Thursday for delivery Tuesday through Friday. STAT not available for Friday delivery. CPT Codes: day Test Schedule: Daily Molecular Diagnostics Testing Monoclonal Antibody Coupled Magnetic Beads CD3 and CD33 Enrichment Order Code: 4091 May be scheduled in conjunction with Engraftment. Sodium Heparin Whole Blood (green top) preferred. EDTA Whole Blood or Bone Marrow, or ACDA Whole Blood or Bone Marrow (yellow top) also acceptable. 14 ml Sample must be received within 24 hours of collection and may be drawn Monday through Thursday for delivery Tuesday through Friday. STAT not available for Friday delivery. CPT Codes: Molecular Diagnostics Testing Monoclonal Antibody Coupled Magnetic Beads 81268x2 1 day Test Schedule: Daily

33 CD3 Enrichment Order Code: 4093 May be scheduled in conjunction with Engraftment. Sodium Heparin Whole Blood (green top) preferred. EDTA Whole Blood or Bone Marrow, or ACDA Whole Blood or Bone Marrow (yellow top) also acceptable. 14 ml Sample must be received within 24 hours of collection and may be drawn Monday through Thursday for delivery Tuesday through Friday. STAT not available for Friday delivery. Molecular Diagnostics Testing Monoclonal Antibody Coupled Magnetic Beads CPT Codes: day Test Schedule: Daily CD3, CD33 and CD56 Enrichment Order Code: 4107 May be scheduled in conjunction with Engraftment. Sodium Heparin Whole Blood (green top) preferred. EDTA Whole Blood or Bone Marrow, or ACDA Whole Blood or Bone Marrow (yellow top) also acceptable. 14 ml Sample must be received within 24 hours of collection and may be drawn Monday through Thursday for delivery Tuesday through Friday. STAT not available for Friday delivery. CPT Codes: Molecular Diagnostics Testing Monoclonal Antibody Coupled Magnetic Beads 81268x3 1 day Test Schedule: Daily CD36 Typing Order Code: 5444 Order Name: Glycoprotein IV (CD36) Typing EDTA Whole Blood 10 ml 7 ml Sample must be received within 4 days of draw date. Flow Cytometry CPT Codes: days Test Schedule: Assay scheduled as needed

34 CD46 (MCP) Expression Order Code: 1507 K2 EDTA Whole Blood 3 ml 1 ml Prefer sample to be received within 24 hours of collection. Sample less than 2 days old when received is acceptable. Send overnight delivery Monday - Thursday. Contact laboratory prior to sending sample. Hemostasis Testing Flow Cytometry CPT Codes: 88184, days Test Schedule: Performed as needed (Monday through Friday) CD56 Enrichment Order Code: 4098 May be scheduled in conjunction with Engraftment. Sodium Heparin Whole Blood (green top) preferred. EDTA Whole Blood or Bone Marrow, or ACDA Whole Blood or Bone Marrow (yellow top) also acceptable. 14 ml Sample must be received within 24 hours of collection and may be drawn Monday through Thursday for delivery Tuesday through Friday. STAT not available for Friday delivery. Molecular Diagnostics Testing Monoclonal Antibody Coupled Magnetic Beads CPT Codes: day Test Schedule: Daily CEBPA Mutation Analysis Order Code: 4629 EDTA Whole Blood or EDTA Bone Marrow or DNA (High Quality) 2-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or DNA >= 500 ng at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample/dna is from whole blood or bone marrow. Molecular Oncology Testing PCR and Direct DNA Sequencing CPT Codes: days Test Schedule: Performed 5 days per week (Monday through Friday)

35 Chemical Treatment Case Dependent Refrigerated Contact laboratory prior to drawing sample. CPT Codes: Immunohematology Reference Testing 2-ME, DTT, Chloroquin or EGA 2-Me 86977, Chloroquin 86971, DTT 86971, EGA Chimerism Order Code: 4020 Order Name: Engraftment/Chimerism Testing: Pre-Transplant Evaluation Engraftment pre-transplant testing for informative locus is required for post-transplant to be possible. Pre-transplant testing is performed on donor and recipient samples. EDTA Whole Blood 5 ml 2 ml CPT Codes: Molecular Diagnostics Testing PCR and Fragment Analysis 81265; Double Cord Transplant: 81265, Test Schedule: Performed 5 days per week (Monday through Friday) Coagulation Disorder Panel Order Code: 4815 Amniotic Fluid, Buccal Swabs, Cultured Amniocytes, CVS, DNA, EDTA Bone Marrow, EDTA Whole Blood 2-5 ml EDTA Whole Blood or Bone Marrow, 3-4 Buccal Swabs, 1 ug DNA at 50 ng/ul, 7-15 ml Amniotic fluid, 5-10 mg CVS, 2- T25 flasks cultured amniocytes or CVS (2x10^6 minimum) Fetal: Call Laboratory; Parental/Patient: 2 ml Hematology Genetics Capture Hybridization and Next Generation Sequencing (MiSeq) CPT Codes: 81238, 81407, 81408, days

36 Complete Rh Phenotyping of RBCs Includes: D, C, c, E, e antigens. EDTA Whole Blood 5 ml Refrigerated Contact laboratory prior to drawing sample. Immunohematology Reference Testing Serological CPT Codes: day Comprehensive Bleeding Disorder Panel Order Code: 4825 Amniotic Fluid, Buccal Swabs, Cultured Amniocytes, CVS, DNA, EDTA Bone Marrow, EDTA Whole Blood 2-5 ml EDTA Whole Blood or Bone Marrow, 3-4 Buccal Swabs, 1 ug DNA at 50 ng/ul, 7-15 ml Amniotic fluid, 5-10 mg CVS, 2- T25 flasks cultured amniocytes or CVS (2x10^6 minimum) Fetal: Call Laboratory; Parental/Patient: 2 ml Hematology Genetics Capture Hybridization and Next Generation Sequencing (MiSeq) CPT Codes: 81238, 81404, 81407, 81408, days Comprehensive Platelet Disorder Panel Order Code: 4830 Amniotic Fluid, Buccal Swabs, Cultured Amniocytes, CVS, DNA, EDTA Bone Marrow, EDTA Whole Blood 2-5 ml EDTA Whole Blood or Bone Marrow, 3-4 Buccal Swabs, 1 ug DNA at 50 ng/ul, 7-15 ml Amniotic fluid, 5-10 mg CVS, 2- T25 flasks cultured amniocytes or CVS (2x10^6 minimum) Fetal: Call Laboratory; Parental/Patient: 2 ml Hematology Genetics Capture Hybridization and Next Generation Sequencing (MiSeq) CPT Codes: 81404, 81406, days

37 Congenital Neutropenia Panel Order Code: 4845 Amniotic Fluid, Buccal Swabs, Cultured Amniocytes, CVS, DNA, EDTA Bone Marrow, EDTA Whole Blood 2-5 ml EDTA Whole Blood or Bone Marrow, 3-4 Buccal Swabs, 1 ug DNA at 50 ng/ul, 7-15 ml Amniotic fluid, 5-10 mg CVS, 2- T25 flasks cultured amniocytes or CVS (2x10^6 minimum) Fetal: Call Laboratory; Parental/Patient: 2 ml Hematology Genetics Capture Hybridization and Next Generation Sequencing (MiSeq) CPT Codes: 81406x3, 81408, days Crossmatch Consultation required. Contact laboratory. Clot Tubes (red top) and EDTA Whole Blood Three 7 ml Clot Tubes (red top) and 5 ml EDTA Whole Blood Refrigerated Immunohematology Reference Testing Serological CPT Codes: days Crossmatch (Flow Cytometry) Order Code: 2600 Clot Tube (red top) and Sodium Heparin Whole Blood (green top) on recipient One 10 ml Clot Tube (red top) and 40 ml Sodium Heparin Whole Blood (green top) on recipient One 5 ml Clot Tube (red top) and 20 ml Sodium Heparin Whole Blood (green top) on recipient If samples will not be received in the laboratory within 24 hours, use ACD solution B to replace heparinized whole blood. CPT Codes: Histocompatibility Transplant Testing Flow Cytometry (first serum/dilution), (each addtl serum/dilution)

38 Crossmatch (Flow Cytometry) Against Recipient Order Code: 2610 Clot Tube (red top) on recipient and Sodium Heparin Whole Blood (green top) on donor One 10 ml Clot Tube (red top) on recipient and 40 ml Sodium Heparin Whole Blood (green top) on donor One 5 ml Clot Tube (red top) on recipient and 20 ml Sodium Heparin Whole Blood (green top) on donor If samples will not be received in the laboratory within 24 hours, use ACD solution B to replace heparinized whole blood. Histocompatibility Transplant Testing Flow Cytometry Crossmatch (Flow Cytometry) Titration Order Code: 2601 Clot Tube (red top) on recipient and Sodium Heparin Whole Blood (green top) on donor One 10 ml Clot Tube (red top) on recipient and 60 ml Sodium Heparin Whole Blood (green top) on donor One 5 ml Clot Tube (red top) on recipient and 30 ml Sodium Heparin Whole Blood (green top) on donor If samples will not be received in the laboratory within 24 hours, use ACD solution B to replace heparinized whole blood. CPT Codes: Histocompatibility Transplant Testing Flow Cytometry 86825, 86826x7 Crossmatch with Alloadsorbed Serum Refrigerated Contact laboratory prior to drawing sample. CPT Codes: Immunohematology Reference Testing Serological 86922x2 3 days

39 Custom Blood Disorder Panel Order Code: 4850 Amniotic Fluid, Buccal Swabs, Cultured Amniocytes, CVS, DNA, EDTA Bone Marrow, EDTA Whole Blood 2-5 ml EDTA Whole Blood or Bone Marrow, 3-4 Buccal Swabs, 1 ug DNA at 50 ng/ul, 7-15 ml Amniotic fluid, 5-10 mg CVS, 2- T25 flasks cultured amniocytes or CVS (2x10^6 minimum) CPT Codes: Hematology Genetics Capture Hybridization and Next Generation Sequencing (MiSeq) 21 days Fetal: Call Laboratory; Parental/Patient: 2 ml DAT Negative Hemolytic Anemia Evaluation Order Code: 3111 Includes: ABO/Rh, Direct Antiglobulin Tests (including IgA detection), Elution (routine and enhanced), and antibody detection tests (routine and enhanced). Additional tests as necessary based upon results determined by Immunohematology Reference Lab. Clot Tubes (red top) and EDTA Whole Blood Three 7 ml Clot Tubes (red top) and two 5 ml EDTA Whole Blood Refrigerated Immunohematology Reference Testing Serological CPT Codes: 86880x8, 86860, 86850x5, 86900, 86901, days Direct Antiglobulin Test (DAT) EDTA Whole Blood 5 ml Refrigerated CPT Codes: Immunohematology Reference Testing Serological AHG, 86880x3 Monospecific 1 day

40 DNMT3A Exon 23 Sequence Analysis Order Code: 7635 EDTA Whole Blood or EDTA Bone Marrow or DNA (High Quality) 3-5 ml EDTA Whole Blood or 2-5 ml EDTA Bone Marrow or DNA >= 500 ng at 25 ng/ul 2 ml EDTA Whole Blood or 2 ml EDTA Bone Marrow Indicate on specimen tube and requisition whether sample/dna is from whole blood or bone marrow. CPT Codes: days Molecular Oncology Testing PCR and Bidirectional DNA Sequencing Donath-Landsteiner Not available as an individual test. Requires initial evaluation at additional cost. Clot Tubes (red top) and EDTA Whole Blood Three 7 ml Clot Tubes (red top) and 5 ml EDTA Whole Blood Refrigerated Prewarm clot tubes and maintain at 37ºC during clotting and separate serum from clot immediately. Immunohematology Reference Testing Serological CPT Codes: 86940, days Drug-Dependent Neutrophil Antibody Order Code: 9500 Serum 5 ml 1 ml Refrigerated (If already frozen, send on dry ice) Sample should be spun down and taken off the clot. Sample must be received within of draw date if refrigerated. Older serum samples are acceptable if they have been frozen. CPT Codes: Flow Cytometry 86021, each additional drug: Test Schedule: Performed once per week