Ordering Recommendation

Detect minimal residual disease in patients of all ages previously diagnosed with B-ALL.

Mnemonic
B-ALL MRD
Methodology

Flow Cytometry

Performed

Sun-Sat

Reported

1-2 days

New York DOH Approval Status
Specimens from New York clients will be sent out to a New York DOH approved laboratory, if possible.
Specimen Required
Patient Preparation
Collect

Bone marrow. Whole blood: Green (Sodium Heparin) or Lavender (EDTA).

Specimen Preparation

Transport 2 mL heparinized bone marrow (Min: 1.0 mL*) OR 3 mL whole blood (Min: 1mL*)

Storage/Transport Temperature

Room temperature. Also acceptable: Refrigerated. Specimen should be received within 24 hours of collection for optimal cell viability.

Unacceptable Conditions

Clotted or hemolyzed specimens.

Remarks

Provide specimen source, CBC, Wright stained smear (if available), clinical history, differential diagnosis.
Follow up: If previous leukemia/lymphoma phenotyping was performed at another lab, the outside flow cytometry report and histograms (if possible) should accompany the specimen.

Stability

Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable

Reference Interval

By Report

Interpretive Data

Refer to report.

Compliance Category

Analyte Specific Reagent (ASR)

Note

This assay is a minimal residual disease assessment of B-ALL by flow cytometry.

Available Markers*: CD3, CD9, CD10, CD13, CD19, CD20, CD33, CD34, CD38, CD45, CD58, CD71, Syto 16

*Not all markers will be reported in all cases.

DAY 8 Peripheral Blood sample will have CD10, CD19, CD20, CD34, CD45, and Syto 16 run and reported. (6 markers total).

Day 29 Bone Marrow sample will have CD3, CD9, CD10, CD13, CD19, CD20, CD33, CD34, CD38, CD45, CD58, CD71, Syto 16 run and reported. (13 markers total).

The report will include a pathologist interpretation and a marker interpretation range corresponding to CPT codes of 2-8 markers, 9-15 markers interpreted. Charges apply per marker.

Hotline History
N/A
CPT Codes

88184; 88185; each additional marker 88187 or 88188.

Components
Component Test Code* Component Chart Name LOINC
3000737 Number of Markers 19099-1
3000738 B-ALL MRD (COG Protocol) Interpretation 45267-2
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Acute Leukemia Follow up Phenotyping by Flow Cytometry
  • Follow-Up Phenotyping
  • Hematopoietic neoplasms monitoring
  • Leukemia/Lymphoma Evaluation Panel
  • Leukemia/Lymphoma Phenotyping, Comprehensive - Bone Marrow
  • Leukemia/Lymphoma Phenotyping, Comprehensive - Miscellaneous
  • Leukemia/Lymphoma Phenotyping, Comprehensive - Whole Blood
B-Cell Acute Lymphocytic Leukemia (B-ALL) Minimum Residual Disease Detection by Flow Cytometry (COG Protocol)