Spreadsheet: 5a989dd1-7e18-425c-b2f9-79615d18a119
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
LLPT | Test | LLPT | Leukemia/Lymphoma Immunophenotyping by Flow Cytometry, Tissue | Leukemia Lymphoma Phenotype, Tissue | Flow Cytometry Includes flow cytometric analysis with an assortment of lymphocyte- and/or myeloid-lineage associated antigens. The appropriate selection of these is chosen by a Mayo Hematopathologist based on clinical information, specimen type, specimen volume, cellular characteristics, and/or morphologic review, keeping in mind the clinical impression of the referring physician. This test also includes review of morphology for quality correlation with immunophenotypic results. Note: This procedure is applicable for cases of acute lymphoblastic leukemia, acute myelogenous leukemia, chronic lymphoproliferative disorders, and malignant lymphomas. | [NAME], sterile container: SrwStlCont |  |  | 1 |  | [NAME] must arrive within 96 hours of collection.   Container/Tube: Sterile container with 15 mL of tissue culture medium (eg, Hank's balanced salt solution [Supply T132], RPMI, or equivalent) [NAME]: 5 mm(3) or larger biopsy Collection Instructions:  1. Send intact specimen (do not mince).  2. [NAME] cannot be fixed. Additional Information:  1. Date, time of collection, tissue type, and location are required. 2. A pathology/diagnostic report including the client surgical pathology case number, a brief history, reason for referral or clinical suspicion are required before the specimen will be processed. 3. If, in the opinion of the Mayo hematopathologist, the tissue is not adequate for flow cytometric immunophenotyping, the specimen will be snap-frozen for phenotyping by immunohistochemistry Forms:  1. Hematopathology Patient Information Sheet (Supply T676) in Special Instructions 2. If not ordering electronically, please submit a Hematopathology/Molecular Oncology Request Form (Supply T241) with the specimen. | 1 mm(3) | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	Fixed tissue | An interpretive report will be provided. | Specimens are processed and reported Monday through Sunday | 2 days | 4 days |  |  |  |  |  |  | Rochester
LLPT | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
LLPT | Result | 19562 | Accession Number | Accession Number | Alphanumeric
LLPT | Result | 19563 | Referring Pathologist/Physician | Referring Pathologist/Physician | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46608-6
LLPT | Result | 19564 | Ref Path/Phys Address | Ref Path/Phys Address | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
LLPT | Result | 19565 | Place of Death: | Place of Death: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21987-3
LLPT | Result | 19566 | Date and Time of Death: | Date and Time of Death: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31211-6
LLPT | Result | 19567 | Date of Autopsy: | Date of Autopsy: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
LLPT | Result | 19568 | Specimen: | Specimen: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
LLPT | Result | 19569 | Material: | Material: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
LLPT | Result | 19570 | Tissue Discription: | Tissue Discription: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22634-0
LLPT | Result | 19571 | Microscopic Description: | Microscopic Description: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
LLPT | Result | 19572 | Clinical History: | Clinical History: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
LLPT | Result | 19573 | Final Diagnosis: | Final Diagnosis: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34574-4
LLPT | Result | 19574 | Final Diagnosis: | Final Diagnosis: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34574-4
LLPT | Result | 19575 | Comment: | Comment: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8
LLPT | Result | 19576 | Revision Description: | Revision Description: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
LLPT | Result | 19577 | Signing Pathologist: | Signing Pathologist: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
LLPT | Result | 19578 | Special Procedures: | Special Procedures: | Alphanumeric
LLPT | Result | 19579 | SP Signing Pathologist: | SP Signing Pathologist: | Alphanumeric
LLPT | Result | 19580 | *Previous Report Follows* | *Previous Report Follows* | Alphanumeric
LLPT | Result | 19581 | [NAME]: | [NAME]: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8
LLPT | Result | 19582 | [NAME] Comment: | [NAME] Comment: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1
LLPT | Result | 19583 | [NAME] Pathologist: | [NAME] Pathologist: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5
LLPT | [NAME] | 80997 | Flow Cytometry, Cell Surface, First | Flow Cytometry, Cell Surface, First |  |  |  |  |  |  | Only to be ordered by pathology clients |  |  |  |  |  |  | 1 | 88184 |  |  | No | No ([NAME] Only)
LLPT | [NAME] | 81047 | Flow Cytometry, Cell Surface, Additional | Flow Cytometry, Cell Surface, [NAME] |  |  |  |  |  |  | Only to be ordered by pathology clients |  |  |  |  |  |  | 1 | 88185 |  |  | No | No ([NAME] Only)
LLPT | [NAME] | 88465 | Flow Cytometry Interpretation, 2 to 8 Markers | Flow Cytometry Interp, 2-8 Markers |  |  |  |  |  |  | Only to be ordered by  pathology clients. |  |  |  |  |  |  | 1 | 88187 |  |  | No | No ([NAME] Only)
LLPT | [NAME] | 88466 | Flow Cytometry Interpretation, 9 to 15 Markers | Flow Cytometry Interp, 9-15 Markers |  |  |  |  |  |  | Only to be ordered by pathology clients |  |  |  |  |  |  | 1 | 88188 |  |  | No | No ([NAME] Only)
LLPT | [NAME] | 88467 | Flow Cytometry Interpretation, 16 or More Markers | Flow Cytometry Interp,16 or greater |  |  |  |  |  |  | Only to be ordered by pathology clients |  |  |  |  |  |  | 1 | 88189 |  |  | No | No ([NAME] Only)