B-Cell Clonality Screening (IgH and IgK), Tissue, by PCR
Ordering Recommendation
Aids in the diagnosis and monitoring of B-cell lymphoproliferative disorders. This is an ancillary test that may be used in the context of additional morphologic and clinical evaluation to differentiate between malignant and reactive proliferations. This test uses primers from the BIOMED-2 primer set that target IgH (VHFR1-JH; VHFR2-JH; VHFR3-JH) and IgK (VK-JK; VK-Kde; JKCK intron-Kde) genes.
New York DOH Approval Status
Specimen Required
Fresh tissue, formalin-fixed tumor tissue.
FFPE Tumor Tissue: Formalin-fixed (10 percent neutral buffered formalin) and paraffin-embedded tissue. Protect from excessive heat. Tissue block will be returned after testing. Transport tissue block or four 10-micron shavings in a tissue transport kit (ARUP Supply #47808) available online through eSupply using ARUP Connect(TM) or contact ARUP Client Services at 800-522-2787.
Fresh Tissue: Frozen on dry ice. FFPE Tumor Tissue: Room temperature. Also acceptable: Refrigerated. Ship in cooled container during summer months.
Tissue: FFPE specimens fixed in any fixative other than 10 percent neutral buffered formalin.
If multiple specimens (blocks or slides) are sent to ARUP, they must be accompanied by one of the following: an order comment indicating that the ARUP pathologist should choose the specimen most appropriate for testing (e.g., "Choose best block"), or individual orders for each sample submitted. A Pathologist Block Selection Fee (ARUP test code 3002076) will be added to orders that utilize the first option. If multiple specimens are sent to ARUP without a request for pathologist block/slide selection or individual orders, they will be held until clarification is provided.
Fresh Tissue: Ambient: Unacceptable; Refrigerated: 2 hours; Frozen: 1 year FFPE Tumor Tissue: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
Methodology
Qualitative Capillary Electrophoresis / Qualitative Polymerase Chain Reaction (PCR)
Performed
Varies
Reported
8-12 days
Reference Interval
Interpretive Data
Refer to report.
Note
Hotline History
Hotline History
CPT Codes
81261; 81264
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 3021205 | B-Cell Tissue by PCR | 34574-4 |
| 3021206 | B-Cell Tissue, Source | 31208-2 |
















