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Helper/Suppressor Ratio (Flow Cytometry)

Test Summary

Assists in evaluating helper cell immune status in immunodeficiency diseases such as AIDS.

Aliases

  • N/A

Specimen Collection

Special Instructions

Any specimen collected on a Friday or a day prior to a holiday should be called to the Flow Cytometry Lab at 937-208-6687 no later than 4 pm so that transportation can be arranged.

Preferred Specimen

VENOUS PERIPHERAL BLOOD: 5 mLs K2EDTA (lavender top) tube. (minimum 2 - 3 mLs)

Minimum Volume

N/A

Instructions

Avoid hemolysis. Gently invert 10 times.

Patient Preparation

N/A

Storage

K2EDTA (lavender top) tube

Transport Temperature

Room Temperature and transport without delay.

Specimen Stability

  • Room Temperature = 24 hours post collection
  • Refrigerated = unacceptable
  • Frozen = unacceptable

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Rejected for gross hemolysis, clotted. Microcontainers; finger or heel sticks

Order Code

HSR

EPIC (Premier) Code

LAB10004

Includes

% T Cells (CD3) and Total Absolute T cells (CD3), % Helper Cells (CD4) and Total Absolute Helper cells (CD4), % Suppressor Cells (CD8) and Total Absolute Suppressor cells (CD8), and H/S Ratio.

CPT Code

  • 86359
  • 86360

Billing Code

  • 300546
  • 300545

CPT Statement

Methodology

Flow Cytometry (FC)

FDA Status

FDA Approved

Physician Attestation of Informed Consent

N/A

Testing Laboratory

CompuNet Clinical Laboratories, LLC
2308 Sandridge Drive
Moraine OH, 45439

Department

Flow Cytometry

Reference Range

% T Cells (CD3) N/M/F 48M 55 - 82 %
    133Y 60 - 90 %
Total T Cells (CD3) N/M/F 6M 3500 - 5000 /MM3
    12M 3400 - 4600 /MM3
    18M 3200 - 3900 /MM3
    24M 2800 - 3500 /MM3
    30M 2300 - 3300 /MM3
    36M 1900 - 3100 /MM3
    48M 1000 - 3900 /MM3
    133Y 720 - 3240 /MM3
% Helper Cells (CD4) N/M/F 6M 50 - 57 %
    12M 49 - 55 %
    18M 46 - 51 %
    24M 42 - 48 %
    30M 38 - 46 %
    36M 33 - 44 %
    48M 27 - 57 %
    133Y 32 - 61 %
Total Helper (CD4) N/M/F 6M 2800 - 3900 /MM3
    12M 2600 - 3500 /MM3
    18M 2300 - 2900 /MM3
    24M 1900 - 2500 /MM3
    30M 1500 - 2200 /MM3
    36M 1200 - 2000 /MM3
    48M 560 - 2700 /MM3
    133Y 384 - 2196 /MM3
% Suppressor Cells (CD8) N/M/F 36M 8 - 31 %
    48M 14 - 34 %
    133Y 15 - 44 %
Total Suppressor (CD8) N/M/F 36M 350 - 2500 /MM3
    48M 330 - 1400 /MM3
    133Y 180 - 1584 /MM3
H/S Ratio N/M/F 36M 1.17 - 6.22  
    48M 0.98 - 3.24  
    133Y 0.9 - 3.4   

Setup Schedule / Expected Turnaround Time

Monday - Friday 7:00 am - 6:00 pm. Test not performed on weekends. Report available: 1 - 2 days

Specimen Collection

Special Instructions

Any specimen collected on a Friday or a day prior to a holiday should be called to the Flow Cytometry Lab at 937-208-6687 no later than 4 pm so that transportation can be arranged.

Preferred Specimen

VENOUS PERIPHERAL BLOOD: 5 mLs K2EDTA (lavender top) tube. (minimum 2 - 3 mLs)

Minimum Volume

N/A

Instructions

Avoid hemolysis. Gently invert 10 times.

Patient Preparation

N/A

Storage

K2EDTA (lavender top) tube

Transport Temperature

Room Temperature and transport without delay.

Specimen Stability

  • Room Temperature = 24 hours post collection
  • Refrigerated = unacceptable
  • Frozen = unacceptable

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Rejected for gross hemolysis, clotted. Microcontainers; finger or heel sticks

Billing

CPT Code

  • 86359
  • 86360

Billing Code

  • 300546
  • 300545

CPT Statement

Result Information

Methodology

Flow Cytometry (FC)

Testing Laboratory

N/A

Reference Range

% T Cells (CD3) N/M/F 48M 55 - 82 %
    133Y 60 - 90 %
Total T Cells (CD3) N/M/F 6M 3500 - 5000 /MM3
    12M 3400 - 4600 /MM3
    18M 3200 - 3900 /MM3
    24M 2800 - 3500 /MM3
    30M 2300 - 3300 /MM3
    36M 1900 - 3100 /MM3
    48M 1000 - 3900 /MM3
    133Y 720 - 3240 /MM3
% Helper Cells (CD4) N/M/F 6M 50 - 57 %
    12M 49 - 55 %
    18M 46 - 51 %
    24M 42 - 48 %
    30M 38 - 46 %
    36M 33 - 44 %
    48M 27 - 57 %
    133Y 32 - 61 %
Total Helper (CD4) N/M/F 6M 2800 - 3900 /MM3
    12M 2600 - 3500 /MM3
    18M 2300 - 2900 /MM3
    24M 1900 - 2500 /MM3
    30M 1500 - 2200 /MM3
    36M 1200 - 2000 /MM3
    48M 560 - 2700 /MM3
    133Y 384 - 2196 /MM3
% Suppressor Cells (CD8) N/M/F 36M 8 - 31 %
    48M 14 - 34 %
    133Y 15 - 44 %
Total Suppressor (CD8) N/M/F 36M 350 - 2500 /MM3
    48M 330 - 1400 /MM3
    133Y 180 - 1584 /MM3
H/S Ratio N/M/F 36M 1.17 - 6.22  
    48M 0.98 - 3.24  
    133Y 0.9 - 3.4   

Setup Schedule / Expected Turnaround Time

Monday - Friday 7:00 am - 6:00 pm. Test not performed on weekends. Report available: 1 - 2 days