B-Cell CD20 Expression by Flow Cytometry, Quantitative
Ordering Recommendation
Use to enumerate B cells in peripheral blood or monitor response to rituximab therapy in patients with autoimmune disorders. To evaluate for primary B-cell deficiency (eg, agammaglobulinemia, common variable immunodeficiency [CVID], hypogammaglobulinemia), order B Cell Subset Analysis (3002216).
New York DOH Approval Status
Specimen Required
Green (sodium heparin). Also acceptable: lavender (EDTA) or pink (K2EDTA).
Transport 5 mL whole blood. (Min: 1 mL). Do not freeze.
Preferred transport temp: Room temperature. Also acceptable: Refrigerated. Specimen should be received within 72 hours ofcollection for optimal viable testing.
Clotted, hemolyzed, or frozen specimens. Specimens received more than 72 hours from collection.
Clinical history, differential diagnosis, and any relevant pathology reports.
Ambient: 72 hours; Refrigerated: 72 hours; Frozen: Unacceptable.
Methodology
Flow Cytometry
Performed
Sun-Sat
Reported
1-2 days
Reference Interval
Refer to report.
Interpretive Data
Laboratory Developed Test (LDT)
Note
Monoclonal antibody-based therapies, such as rituximab that target the CD20 antigen, are being used to treat patients with avariety of autoimmune disorders. The effectiveness of this therapy is dependent on the degree of B-cell suppression andvaries by disease state. This assay is designed to detect low levels of B cells and provide quantitative cell numbers in thesetting of rituximab-treated patients using both CD20 and CD19.
Hotline History
Hotline History
CPT Codes
86355; 86356
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
3016432 | CD19+ Percent of Lymphocytes | 8117-4 |
3016433 | CD19+ Count of Lymphocytes | 8116-6 |
3016434 | CD20+ Percent of CD19+ Cells | 94689-7 |
3016435 | CD20+ Count of CD19+ Cells | 9558-8 |
3016436 | Cell Viability | 33193-4 |
Aliases
- B cell depletion
- CD19
- CD20 on B Cells
- high sensitivity B cell count
- Kesimpta monitoring
- Obinutuzumab
- Ocrelizumab
- Ocrevus monitoring
- Ofatumumab
- Rituxan monitoring
- Rituximab
- Veltuzumab