Spreadsheet: 87741061-99ff-45a4-ba3c-b50e36d5f4b1
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
89213 | Test | 89213 | Estrogen/Progesterone Receptor, Semi-Quantitative Immunohistochemistry, Manual | ER/PR, Semi-Quant IHC, Manual | Immunohistochemical |  |  |  |  |  | If being ordered for diagnostic purposes: Order 5439 Surgical Pathology Consultation and then request the stains.   If being ordered for prognostic purposes: [NAME]: Breast carcinoma Preferred: A paraffin-embedded tissue block containing in-situ, invasive or metastatic breast carcinoma tissue that has been fixed in 10% neutral buffered formalin within 1 hour from surgical collection time and for a total of 6 to 72 hours and shipped at ambient temperature  Acceptable: 3 unstained sections, containing carcinoma, on charged slides cut at 4 microns <1 month ago and shipped at ambient temperature  [NAME]-breast carcinoma Preferred: A paraffin-embedded tissue block containing carcinoma tissue that has been fixed in 10% neutral buffered formalin and shipped at ambient temperature Acceptable: 3 unstained sections, containing carcinoma, on charged slides cut at 4 microns <1 month ago and shipped at ambient temperature  Container/Tube: Surgical Pathology Packaging Kit (Supply T554) Collection Instructions:	 1. Submit paraffin-embedded carcinoma tissue. 2. Include accompanying pathology report stating the final diagnosis.  If not available, a preliminary diagnosis is acceptable. 3. Attach the green pathology address label included in the kit to the outside of the transport container. Additional Information:  1. Information regarding fixative used, time to fixation and duration of fixation is required. When ordering 89213 / Estrogen/Progesterone Receptor, Semi-Quantitative Immunohistochemistry, Manual, the following questions, as stated on the order form or presented electronically, must be answered:  -"Was specimen fixed in 10% neutral buffered formalin within 1 hour from surgical collection time? Yes, No or Unknown." -"Has specimen been fixed in 10% neutral-buffered formalin for 6 to 72 hours? Yes, No, or Unknown." 2. According to the College of American Pathologists (CAP)/American Society of Clinical Oncology (ASCO) guidelines, estrogen/progesterone receptor protein immunohistochemical test results are only valid for nondecalcified, paraffin-embedded specimens fixed in 10% neutral buffered formalin within 1 hour from surgical collection time and for a total time of 6 to 72 hours. Delay to fixation, under- or overfixation may affect these results. 3. Paraffin blocks will be returned with final report. 4. Estrogen/progesterone receptor testing is not appropriate and not performed for cases of lobular carcinoma in situ. Forms: If not ordering electronically, submit a Pathology/Cytology Request Form (Supply T246) with the specimen. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Negative: <1% reactive cells Focal positive: 1-10% reactive cells Positive: >10% reactive cells | Monday through Friday | 2 days | 10 days |  | Profile |  |  |  |  | Rochester
89213 | [NAME] | MIXED | Mixed |  |  |  | Ambient
89213 | Order Question | [NAME] | Was specimen fixed in 10% neutral buffered formalin within 1 hr from surgical collection time? |  | Answer List
89213 | Option | Q0000367-1 | Yes
89213 | Option | Q0000367-2 | No
89213 | Option | Q0000367-3 | Unknown
89213 | Order Question | [NAME] | Has specimen been fixed in 10% neutral buffered formalin for 6-72 hours? |  | Answer List
89213 | Option | [NAME] | Yes
89213 | Option | [NAME] | No
89213 | Option | [NAME] | Unknown
89213 | Result | 19689 | Accession Number | Accession Number
89213 | Result | 19690 | Referring Pathologist/Physician | Referring Pathologist/Physician |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46608-6 | Primary referring physician ID:ID:Pt:Provider:Nom:
89213 | Result | 19691 | Ref Path/Phys Address | Ref Path/Phys Address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
89213 | Result | 19692 | Material: | Material:
89213 | Result | 19693 | Tissue: | Tissue: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
89213 | Result | 19694 | Interpretation: | Interpretation: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
89213 | Result | 19695 | Comment: | Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar:
89213 | Result | 19696 | SP Signing Pathologist: | SP Signing Pathologist:
89213 | Result | 19697 | *Previous Report Follows* | *Previous Report Follows*
89213 | Result | 19698 | [NAME]: | [NAME]: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8 | Path report.addendum:Find:Pt:[NAME]:Nar:
89213 | Result | 19699 | [NAME] Comment: | [NAME] Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
89213 | Result | 19700 | [NAME] Pathologist: | [NAME] Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:PN:Pt:Provider:Nom:
89213 | Billing Component | 89213 |  | PR |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88360
89213 | Billing Component | 89213 |  | ER |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 88360