Spreadsheet: e710c668-19bc-4487-9056-bea085efb049
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
TCIPF | Test | TCIPF | T- and B-Cell Quantitation and Lymphocyte Proliferation to Antigens and Mitogens Panel | T-Cell Immune Competence Panel | Flow Cytometry |  |  |  |  |  | It is recommended that specimens arrive within 24 hours of draw. Specimens are required to be received in the laboratory weekdays and by 4 p.m. on Friday. No weekend processing. Draw and package specimens as close to shipping time as possible. Ship specimen overnight in an [NAME] Specimens Only (Supply T668).   Date and time of draw and ordering physician's name and phone number are required.   For serial monitoring, we recommend that specimen draws be performed at the same time of day.   Three separate specimens are required.   Specimen Type: EDTA whole blood Container/Tube: Lavender top (EDTA) [NAME]: 3 mL Collection Instructions: Send specimen in original tube. Do not aliquot.   [NAME]: Sodium heparin whole blood Container/Tube: Green top (sodium heparin) [NAME] <3 months: 1 mL  3-24 months: 3 mL  25 months-18 years: 5 mL  >18 years: 20 mL  Collection Instructions: Send specimen in original tube. Do not aliquot.    [NAME]: Sodium heparin whole blood Container/Tube: Green top (sodium heparin) [NAME] <3 months: 1 mL  3 months-5 years: 2 mL  6-18 years: 3 mL >18 years: 10 mL  Collection Instructions: Send specimen in original tube. Do not aliquot. | EDTA whole blood: 1 mL; Sodium h | Hemolysis	Mild OK; Gross reject Thawing	NA Lipemia	Mild OK; Gross reject Icterus	NA Other	Specimens in aliquot tubes (not in original [NAME]) | The appropriate age-related reference values will be provided on the report. | T- and B-Cell quantitation by flow cytometry: Monday through Sunday [NAME] proliferation to antigens: Monday through Friday. Specimens are required to be received in the lab weekdays and by 4 p.m. on Friday. No weekend processing.  [NAME] prolifer | 11 days | 14 days |  | Profile |  |  |  |  | Rochester
TCIPF | [NAME] | WBNAH | WB Sodium Heparin |  |  |  | Ambient | 48 hours
TCIPF | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient | 52 hours
TCIPF | Billing Component | TCIPF |  | B cells, total count |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 86355
TCIPF | Billing Component | TCIPF |  | T-cells total count |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 86359
TCIPF | Billing Component | TCIPF |  | Absolute CD4/CD8 Count |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 86360
TCIPF | Billing Component | TCIPF |  | Natural killer cells |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 86357
TCIPF | Component | TBBS | T- and B-Cell Quantitation by Flow Cytometry | T- and B-Cell QN by Flow Cytometry | Flow Cytometry | EDTA (lavender-top) tube: EDTA |  |  | 4 | mL | [NAME] must arrive within 52 hours of draw. Draw and package specimen as close to shipping time as possible.   Container/Tube: Lavender top (EDTA) [NAME]: 3 mL Collection Instructions: Send specimen in original tube. Do not aliquot. Additional Information: 1. Date of draw is required. 2. For serial monitoring, we recommend that specimen draws be performed at the same time of day. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 1 mL | Hemolysis	Mild OK; Gross reject Thawing	NA Lipemia	Mild OK; Gross reject Icterus	NA Other	ACD or heparin blood, specimen in aliquot tube | The appropriate age-related reference values will be provided on the report. | Monday through Sunday | Same day/1 day | 2 days |  | Profile |  |  | Yes | Yes
TBBS | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient | 52 hours
TBBS | Result | 9336 | T-and B-Cell QN by Flow Cytometry(TBBS_) | T-and B-Cell QN by Flow Cytometry(TBBS_) | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
TBBS | Result | 3321 | CD45 [NAME], Flow | CD45 [NAME], Flow | Numeric |  |  |  |  | thou/mcL |  |  |  |  |  |  |  |  |  | 27071-0 | Cells.CD45:NCnc:Pt:[NAME]:Qn:
TBBS | Result | 3316 | % CD3 (T Cells) | % CD3 (T Cells) | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 8124-0 | Cells.CD3/100 cells:NFr:Pt:[NAME]:Qn:
TBBS | Result | 3318 | % CD19 (B Cells) | % CD19 (B Cells) | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 8117-4 | Cells.CD19/100 cells:NFr:Pt:[NAME]:Qn:
TBBS | Result | 4054 | % CD16+CD56 (NK cells) | % CD16+CD56 (NK cells) | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 18267-5 | Cells.CD16+CD56+/100 cells:NFr:Pt:[NAME]:Qn:
TBBS | Result | 3319 | % CD4 (Helper Cells) | % CD4 (Helper Cells) | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 8123-2 | Cells.CD3+CD4+/100 cells:NFr:Pt:[NAME]:Qn:
TBBS | Result | 3320 | % CD8 (Supp'r Cells) | % CD8 (Supp'r Cells) | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 8101-8 | Cells.CD3+CD8+/100 cells:NFr:Pt:[NAME]:Qn:
TBBS | Result | 3322 | CD3 (T Cells) | CD3 (T Cells) | Numeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | 8122-4 | Cells.CD3:NCnc:Pt:[NAME]:Qn:
TBBS | Result | 3324 | CD19 (B Cells) | CD19 (B Cells) | Numeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | 8116-6 | Cells.CD19:NCnc:Pt:[NAME]:Qn:
TBBS | Result | 4055 | CD16+CD56 (NK cells) | CD16+CD56 (NK cells) | Numeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | 20402-4 | Cells.CD16+CD56+:NCnc:Pt:[NAME]:Qn:
TBBS | Result | 3325 | CD4 (Helper Cells) | CD4 (Helper Cells) | Numeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | 24467-3 | Cells.CD3+CD4+:NCnc:Pt:[NAME]:Qn:
TBBS | Result | 3326 | CD8 (Supp'r Cells) | CD8 (Supp'r Cells) | Numeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | 14135-8 | Cells.CD3+CD8+:NCnc:Pt:[NAME]:Qn:
TBBS | Result | 3327 | H/S Ratio | H/S Ratio | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 54218-3 | Cells.CD3+CD4+/Cells.CD3+CD8+:NRto:Pt:[NAME]:Qn:
TBBS | Result | 6657 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar:
TCIPF | Component | LPMGF | Lymphocyte Proliferation to Mitogens, Blood | [NAME], Mitogens | Flow Cytometry | Green-Top Tube (Sodium Heparin): GrnNaHp |  |  | 10 | mL | [NAME] must arrive within 24 hours of draw and by 10 a.m. on Friday. Send specimen Sunday through Thursday only. Draw and package specimen as close to shipping time as possible.   Container/Tube: Green top (sodium heparin) [NAME] <3 months: 1 mL 3 months-5 years: 2 mL 6-18 years: 3 mL >18 years: 10 mL Collection Instructions: 1. Send specimen is original tube. Do not aliquot. 2. Ship specimen overnight in an [NAME] Specimens Only (Supply T668). Additional Information: 1. Date and time of draw and ordering physician name and phone number are required. 2. Specify "Mitogen" to differentiate from "Antigen" testing. This information is required. 3. If both antigens and mitogens are desired, order LPMAF/60593 Lymphocyte Proliferation Panel for Mitogens and [NAME]. 4. For serial monitoring, we recommend that specimen draws be performed at the same time of day. | 1 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm OK; Cold OK Lipemia	Mild OK; Gross reject Icterus	NA Other	Lithium heparin | Viability of lymphocytes at day 0: > or =75.0% Maximum proliferation of phytohemagglutinin as % CD45: > or =49.9% Maximum proliferation of phytohemagglutinin as % CD3: > or =58.5% Maximum proliferation of pokeweed mitogen as % CD45: > or =4.5% Maximum proliferation of pokeweed mitogen as % CD3: > or =3.5% Maximum proliferation of pokeweed mitogen as % CD19: > or =3.9% | Monday through Friday Do not send specimen after Thursday. | 8 days | 11 days | 1 | 86353 |  |  | Yes | Yes
LPMGF | [NAME] | WBNAH | WB Sodium Heparin |  |  |  | Ambient | 48 hours
LPMGF | Result | 32317 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69052-9
LPMGF | Result | 32318 | Viab of Lymphs at Day 0 | Viab of Lymphs at Day 0 | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
LPMGF | Result | 32321 | [NAME] of PWM as % CD45 | [NAME] of PWM as % CD45 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 69019-8 | Lymphocyte proliferation.pokeweed mitogen stimulation/CD45:NFr:Pt:[NAME]:Qn:Flow cytometry
LPMGF | Result | 32322 | [NAME] of PWM as % CD3 | [NAME] of PWM as % CD3 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 69020-6 | Lymphocyte proliferation.pokeweed mitogen stimulation/CD3:NFr:Pt:[NAME]:Qn:Flow cytometry
LPMGF | Result | 32323 | [NAME] of PWM as % CD19 | [NAME] of PWM as % CD19 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 69037-0 | Lymphocyte proliferation.pokeweed mitogen.maximum/CD19:NFr:Pt:Bld:Qn:Flow cytometry
LPMGF | Result | 32319 | [NAME] of PHA as % CD45 | [NAME] of PHA as % CD45 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 69038-8 | [NAME] proliferation.phytohemagglutinin.maximum/CD45:NFr:Pt:Bld:Qn:Flow cytometry
LPMGF | Result | 32320 | [NAME] of PHA as % CD3 | [NAME] of PHA as % CD3 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 57741-1 | [NAME] proliferation.OKT3 stimulation:NRat:Pt:[NAME]:Qn:
LPMGF | Result | 32324 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar:
TCIPF | Component | LPAGF | Lymphocyte Proliferation to Antigens, Blood | [NAME], Antigens | Flow Cytometry | Green-Top Tube (Sodium Heparin): GrnNaHp |  |  | 20 | mL | [NAME] must arrive within 24 hours of draw and by 10 a.m. on Friday. Send specimen Sunday through Thursday only. Draw and package specimen as close to shipping time as possible.   Container/Tube: Green top (sodium heparin) [NAME] <3 months: 1 mL 3-24 months: 3 mL 25 months-18 years: 5 mL >18 years: 20 mL Collection Instructions:  1. Send specimen in original tube. Do not aliquot.  2. Ship specimen overnight in an [NAME] Specimens Only (Supply T668). Additional Information:  1. Date and time of draw and ordering physician name and phone number are required. 2. Specify "Antigen" to differentiate from "Mitogen" testing. This information is required. 3. If both antigens and mitogens are desired, order LPMAF/60593 Lymphocyte Proliferation Panel for Mitogens and [NAME]. 4. For serial monitoring, we recommend that specimen draws be performed at the same time of day. | <6 years: 1 mL 6-18 years: 2 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm OK; Cold OK Lipemia	Mild OK; Gross reject Icterus	NA Other	Lithium heparin | Viability of lymphocytes at day 0: > or =75.0% Maximum proliferation of Candida albicans as % CD45: > or =5.7% Maximum proliferation of Candida albicans as % CD3: > or =3.0% Maximum proliferation of tetanus toxoid as % CD45: > or =5.2% Maximum proliferation of tetanus toxoid as % CD3: > or =3.3% | Monday through Friday Do not send specimen after Thursday. | 11 days | 14 days | 1 | 86353 |  |  | Yes | Yes
LPAGF | [NAME] | WBNAH | WB Sodium Heparin |  |  |  | Ambient | 48 hours
LPAGF | Result | 32325 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69052-9
LPAGF | Result | 32326 | Viab of Lymphs at Day 0 | Viab of Lymphs at Day 0 | Unknown |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
LPAGF | Result | 32327 | [NAME] of CA as % CD45 | [NAME] of CA as % CD45 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 69014-9 | [NAME] proliferation.Candida albicans.maximum/CD45:NFr:Pt:Bld:Qn:Flow cytometry
LPAGF | Result | 32328 | [NAME] of CA as % CD3 | [NAME] of CA as % CD3 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 69015-6 | [NAME] proliferation.Candida albicans.maximum/CD3:NFr:Pt:Bld:Qn:Flow cytometry
LPAGF | Result | 32329 | [NAME] of TT as % CD45 | [NAME] of TT as % CD45 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 69029-7 | Lymphocyte proliferation.tetanus toxoid.maximum/CD3:NFr:Pt:Bld:Qn:Flow cytometry
LPAGF | Result | 32330 | [NAME] of TT as % CD3 | [NAME] of TT as % CD3 | Alphanumeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 69016-4 | Lymphocyte proliferation.tetanus toxoid.maximum/CD45:NFr:Pt:Bld:Qn:Flow cytometry
LPAGF | Result | 32331 | Antigen Comment | Antigen Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar: