FOLR1 Immunohistochemistry Analysis

CPT: 88360
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Special Instructions

Note: This test number is used for tracking oncology IHC specimens to the laboratory. Bill codes will be added when testing is complete, based on the processes performed in the laboratory.


Specimen Requirements


Specimen

Formalin-fixed, paraffin-embedded (FFPE) tissue block


Volume

One paraffin block or five unstained slides sectioned at 4-5 microns, no more than 45 days in age


Minimum Volume

Three unstained slides


Container

Paraffin block or unstained, positive-charged slides


Collection

Paraffin block or unstained slides sectioned of no more than 45 days in age


Storage Instructions

Refrigerate; protect from light


Causes for Rejection

Slides sectioned greater than 45 days prior to test request; improper fixation, freezing, thawing, washing, drying, heating, sectioning or contamination with other tissue


Test Details


Use

VENTANA FOLR1 RxDx Assay is an immunohistochemical assay using mouse monoclonal anti-FOLR1-2.1, intended for use in the assessment of folate receptor alpha (FOLR1) protein in formalin-fixed, paraffin-embedded epithelial ovarian, fallopian tube, or primary peritoneal cancer tissue specimens by light microscopy.


Methodology

Immunohistochemistry


References

National Library of Medicine. Mirvetuximab Soravtansine (IMGN853), in Folate Receptor Alpha (FRα) High Recurrent Ovarian Cancer (MIROVA). Accessed December 2022 at https://clinicaltrials.gov/ct2/show/NCT04274426.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
453006 FOLR1 IHC 453007 Referring Physician 18781-5
453006 FOLR1 IHC 453008 Treating Physician 18781-5
453006 FOLR1 IHC 453009 Client Specimen ID 48767-8
453006 FOLR1 IHC 453010 Contain(s) Received 74384-9
453006 FOLR1 IHC 453011 Clinical Data 55752-0
453006 FOLR1 IHC 453012 Revision Text N/A
453006 FOLR1 IHC 453013 Body Site 39111-0
453006 FOLR1 IHC 453014 Specimen Type 66746-9
453006 FOLR1 IHC 453015 Interpretation OR Diagnosis 50595-8
453006 FOLR1 IHC 453016 Test(s) Cancelled N/A
453006 FOLR1 IHC 453017 Comments: 77202-0
453006 FOLR1 IHC 453018 Reviewing Pathologist 19139-5
453006 FOLR1 IHC 453019 General Results 19146-0
453006 FOLR1 IHC 453020 Result 19146-0
453006 FOLR1 IHC 453021 Non Standard Comments 8251-1
453006 FOLR1 IHC 453022 Additional Notation 48767-8
453006 FOLR1 IHC 453023 Electronically Signed by 19139-5
453006 FOLR1 IHC 453024 Proxy Release by 19139-5
453006 FOLR1 IHC 453025 Disclaimer 62364-5
453006 FOLR1 IHC 453026 PDF N/A

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