Medical Genetics Test Details

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The American Medical Association (AMA) Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) codes listed, are provided for informational purposes only. The codes reflect our interpretation of CPT/HCPCS coding requirements based upon AMA guidelines published annually. CPT/HCPCS codes are provided only as guidance to assist clients with billing. Baylor Genetics strongly recommends that clients confirm CPT/HCPCS codes with their Medicare Administrative Contractor (MAC) or other payer being billed, as requirements may differ. CPT coding is the sole responsibility of the billing party. Baylor Genetics assumes no responsibility for billing errors due to reliance on the CPT codes listed. Please direct any questions regarding CPT coding to the payer being billed.

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PD-L1 22C3 IHC with Combined Positive Score (CPS) Interpretation, pembrolizumab (KEYTRUDA)
Test Information:	Use for gastric/GEJ adenocarcinoma, urothelial carcinoma, or cervical carcinoma specimens only. Aid in prediction of response to pembrolizumab (KEYTRUDA) as second-line therapy for patients with gastric/GEJ adenocarcinoma, urothelial carcinoma, or cervical carcinoma, and first-line monotherapy for patients with urothelial carcinoma. For non-small cell lung cancer (NSCLC), see PD-L1 22C3 IHC for NSCLC with Interpretation, pembrolizumab (KEYTRUDA)#8975.
Test Details
Test Code:	8977
Special Notes:	Samples received will be tested by ARUP.
Technical Information
Methodology:	Immunohistochemistry

Sample & Shipping Information
Test Requisition:	Tumor Analysis
Specimen Type:	FFPE - Block
Requirements:	Paraffin-embedded, formalin-fixed tissue block. Surgical pathology report must be attached for all tissue samples.
Shipping Conditions:	Ship at room temperature in an insulated container by overnight courier. If shipping during the summer months, please include a cold-pack to avoid extreme temperatures. Do not heat or freeze.
Specimen Type:	FFPE - Slides
Requirements:	5 unstained 3-5µm positively charged FFPE slides (do not oven bake). Surgical pathology report must be attached for all tissue samples.
Shipping Conditions:	Ship at room temperature in an insulated container by overnight courier. If shipping during the summer months, please include a cold-pack to avoid extreme temperatures. Do not heat or freeze.

Billing Information
Turn Around Time:	1-5 days
List Price:	*For Insurance or Institutional Prices, please call.
CPT Codes:	88360

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