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Test ID: LCMS
Leukemia/Lymphoma Immunophenotyping by Flow Cytometry

List Fee Provides the Mayo Medical Laboratories list fee for performing the test

The following charge(s) may be added per the testing algorithm:  

$150.00 for #80997 Flow Cytometry: First Marker

$59.60 for #81047 Flow Cytometry: Additional Marker (each)

$84.80 for #88465 Flow Cytometry Interpretation, 2 to 8 Markers

$117.40 for #88466 Flow Cytometry Interpretation, 9 to 15 Markers

$141.30 for #88467 Flow Cytometry Interpretation, 16 or More Markers

Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.

This test was developed using an analyte specific reagent. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

88184-Flow cytometry; first cell surface, cytoplasmic or nuclear marker

88185-Flow cytometry; additional cell surface, cytoplasmic or nuclear marker (each)

 

Flow Cytometry Interpretation, 2 to 8 Markers (if appropriate)

88187

 

Flow Cytometry Interpretation, 9 to 15 Markers (if appropriate)

88188

 

Flow Cytometry Interpretation, 16 or More Markers (if appropriate)

88189