Spreadsheet: 6c9967f4-a75c-491b-a386-e3f067aef183
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
HMDP | Test | HMDP | [NAME] (Hyper-IgM) Defects Panel | Hyper IgM Panel, B | Flow Cytometry | EDTA (lavender-top) tube: EDTA AND Green-Top Tube (Sodium Heparin): GrnNaHp AND |  |  |  |  | Three separate specimens are required-2 containing EDTA and 1 containing sodium heparin.   Send specimens Sunday through Thursday only. Specimens must arrive within 24 hours of draw and by 10 a.m. on Friday. Draw and package specimens as close to shipping time as possible. Ship specimens overnight.   For serial monitoring, we recommend that specimen draws be performed at the same time of day.   Specimen Type: Blood for TBBS/9336 T- and B-Cell Quantitation by Flow Cytometry and CD40/89009 B-Cell CD40 Expression by Flow Cytometry, Blood Container/Tube: Lavender top (EDTA)	 [NAME]: 4 mL Collection Instructions: 1. Send specimen in original tube. Do not aliquot. 2. Label specimen as blood for TBBS/9336 T- and B-Cell Quantitation by Flow Cytometry and CD40/89009 B-Cell CD40 Expression by Flow Cytometry, Blood. Specimen Stability Information: Ambient <72 hours Additional Information: Date of draw is required.   Specimen Type: Blood for IABC/87994 B-Cell Phenotyping Screen for Immunodeficiency and Immune Competence Assessment, Blood Container/Tube: Lavender top (EDTA)	 [NAME]: < or =14 years: 4 mL >14 years: 10 mL Collection Instructions: 1. Send specimen in original tube. Do not aliquot. 2. Label specimen as blood for IABC/87994 B-Cell Phenotyping Screen for Immunodeficiency and Immune Competence Assessment, Blood. Specimen Stability Information: Refrigerated (preferred) 48 hours/Ambient 48 hours Additional Information: Ordering physician name and phone number are required.   Specimen Type: Blood for XHIM/82964 X-Linked Hyper IgM Syndrome, Blood Container/Tube: Green top (sodium heparin) [NAME]: 4 mL Collection Instructions: Label specimen as blood for [NAME] IgM Syndrome, Blood. Specimen Stability Information: Ambient (preferred) 72 hours/Refrigerated 72 hours Additional Information: Ordering physician name and phone number are required. | TBBS/9336 T- and B-Cell Quantati | 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. | Monday through Friday  Do not send specimen after Thursday. Specimen must be rec | 3 days | 4 days |  | Profile |  |  |  |  | Rochester
HMDP | [NAME] | WBNAH | WB Sodium Heparin |  |  |  | Ambient | 72 hours
HMDP | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | See instructions | 48 hours
HMDP | Billing Component | HMDP |  | each additional marker |  |  |  |  |  |  |  |  |  |  |  |  |  | 6 | 88185
HMDP | Billing Component | HMDP |  | Flow Cytometry, each cell |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88184
HMDP | Billing Component | HMDP |  | Flow Cytometry first mark |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88184
HMDP | Billing Component | HMDP |  | Each additional marker |  |  |  |  |  |  |  |  |  |  |  |  |  | 7 | 88185
HMDP | Billing Component | HMDP |  | Absolute CD4/CD8 Count |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 86360
HMDP | Billing Component | HMDP |  | Natural killer cells |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 86357
HMDP | Billing Component | HMDP |  | B cells, total count |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 86355
HMDP | Billing Component | HMDP |  | T-cells total count |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 86359
HMDP | 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 48 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 | 48 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 |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process | Cells.CD4/100 cells:NFr:Pt:[NAME]:Qn:
TBBS | Result | 3320 | % CD8 (Supp'r Cells) | % CD8 (Supp'r Cells) | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process | Cells.CD8/100 cells:NFr:Pt:[NAME]:Qn:
TBBS | Result | 3322 | CD3 (T Cells) | CD3 (T Cells) | Numeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process | 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 |  |  |  |  |  |  |  |  |  | In Process | Cells.CD4:NCnc:Pt:[NAME]:Qn:
TBBS | Result | 3326 | CD8 (Supp'r Cells) | CD8 (Supp'r Cells) | Numeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process | Cells.CD8:NCnc:Pt:[NAME]:Qn:
TBBS | Result | 3327 | H/S Ratio | H/S Ratio | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process | Cells.CD4/Cells.CD8:NRto:Pt:[NAME]:Qn:
TBBS | Result | 6657 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar:
HMDP | Component | IABC | B-Cell Phenotyping Screen for Immunodeficiency and Immune Competence Assessment, Blood | Immune Assessment B Cell Subsets, B | Fluorescent Flow Cytometry Only orderable as part of a profile. For further information see IABCS/88800 B-Cell Phenotyping Profile for Immunodeficiency and Immune Competence Assessment, Blood, or HMDP/89220 [NAME] (Hyper-IgM) Defects Panel. |  |  |  |  |  | [NAME] must be received in lab by 10 a.m. on Friday.   Only orderable as part of a profile. For further information see IABCS/88800 B-Cell Phenotyping Profile for Immunodeficiency and Immune Competence Assessment, Blood, or HMDP/89220 [NAME] (Hyper-IgM) Defects Panel. | < or = 14 years: 3 mL of whole b |  | Only orderable as part of a profile. For further information see IABCS/88800 B Cell Phenotyping Profile for Immunodeficiency and Immune Competence Assessment, Blood, or HMDP/89220 [NAME] (Hyper-IgM) Defects Panel. | Varies | 2 days |  |  | Profile |  |  | Yes | No
IABC | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Refrigerated | 48 hours
IABC | Result | 30296 | CD19+ % of total Lymphocytes | CD19+ % of total Lymphocytes | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 8117-4 | Cells.CD19/100 cells:NFr:Pt:[NAME]:Qn:
IABC | Result | 29094 | CD20+ % of total Lymphocytes | CD20+ % of total Lymphocytes | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 8119-0 | Cells.CD20/100 cells:NFr:Pt:[NAME]:Qn:
IABC | Result | 30298 | CD27+ % of CD19+ B cells | CD27+ % of CD19+ B cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30300 | [NAME] cells | [NAME] cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30302 | CD27+ IgM- IgD- % of CD19+ B cells | CD27+ IgM- IgD- % of CD19+ B cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30304 | [NAME] of CD19+ B cells | [NAME] of CD19+ B cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30306 | IgM+ % of CD19+ B cells | IgM+ % of CD19+ B cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30308 | CD38+ IgM- % of CD19+ B cells | CD38+ IgM- % of CD19+ B cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30310 | CD38+ IgM+ % of CD19+ B cells | CD38+ IgM+ % of CD19+ B cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30312 | CD21+ % of CD19+ B cells | CD21+ % of CD19+ B cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30314 | CD21- % of CD19+ B cells | CD21- % of CD19+ B cells | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30297 | CD19+ | CD19+ | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | 8116-6 | Cells.CD19:NCnc:Pt:[NAME]:Qn:
IABC | Result | 29095 | CD20+ | CD20+ | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | 9558-8 | Cells.CD20:NCnc:Pt:[NAME]:Qn:
IABC | Result | 30299 | [NAME] | [NAME] | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30301 | [NAME] IgD+ | [NAME] IgD+ | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30303 | CD27+ IgM- IgD- | CD27+ IgM- IgD- | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30305 | [NAME] | [NAME] | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30307 | IgM+ | IgM+ | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30309 | CD38+ IgM- | CD38+ IgM- | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30311 | CD38+ IgM+ | CD38+ IgM+ | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30313 | CD21+ | CD21+ | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | 25164-5 | Cells.CD21:NCnc:Pt:[NAME]:Qn:
IABC | Result | 30315 | CD21- | CD21- | Alphanumeric |  |  |  |  | cells/mcL |  |  |  |  |  |  |  |  |  | In Process
IABC | Result | 30316 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69048-7
HMDP | Component | CD40 | B-Cell CD40 Expression by Flow Cytometry, Blood | CD40 by Flow, QL, B | Flow Cytometry |  |  |  | 3 | mL | [NAME] must arrive within 72 hours of draw. Send specimen Sunday through Thursday only. 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. Ordering physician name and phone number are required. 2. For serial monitoring, we recommend that specimen draws be performed at the same time of day. | 1 mL | Hemolysis	Mild OK; Gross reject Thawing	NA Lipemia	Mild OK; Gross reject Icterus	NA Other	NA | Present (normal) | Monday through Friday Do not send specimen after Thursday. Specimen must be rece | 3 days | 4 days | 1 | 88184 |  |  | Yes | Yes
CD40 | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient | 72 hours
CD40 | Result | 89009 | CD40 by Flow, QL, B | CD40 by Flow, QL, B | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
HMDP | Component | XHIM | X-Linked Hyper IgM Syndrome, Blood | X-Linked Hyper IgM Syndrome, B | Flow Cytometry | Green-Top Tube (Sodium Heparin): GrnNaHp |  |  | 4 | mL | [NAME] must arrive within 24 hours of draw. Send specimen Sunday through Thursday only. Draw and package specimen as close to shipping time as possible. Ship specimen overnight.   Container/Tube: Green top (sodium heparin) [NAME]: 4 mL Additional Information: 1. Ordering physician's name and phone number are required. 2. For serial monitoring, we recommend that specimen draws be performed at the same time of day. | 1.2 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold reject Lipemia	Mild OK; Gross reject Icterus	NA Other	NA | Present | Monday through Friday  Do not send specimen after Thursday. Specimen must be rec | 3 days | 4 days |  | Profile |  |  | Yes | Yes
XHIM | [NAME] | WBNAH | WB Sodium Heparin |  |  |  | Ambient | 72 hours
XHIM | Result | 82964 | CD40 Ligand Expression | CD40 Ligand Expression | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
XHIM | Result | 29040 | CD40muIg (Function) | CD40muIg (Function) | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
XHIM | Result | 23901 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69052-9