Test Code CD20 CD20 B Cells by Flow Cytometry
Useful For
Please see the Flow Cytometry Flow Chart for ordering instructions
Assessing therapeutic B-cell depletion quantitatively (% and absolute counts of cells/mcL) in any clinical context, including malignancies, autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, and membranous glomerulonephritis among others, and treatment or prevention of acute humoral rejection in positive crossmatch renal transplant recipients (i.e. Rituximab therapy).
Evaluation of CD19 deficiency in patients with a suspected CD19 deficiency (humoral immunodeficiency)
Confirming complete absence of B cells in suspected primary humoral immunodeficiency’s using both CD19 and CD20 markers
Assessing therapeutic B-cell depletion quantitatively (% and absolute counts of cells/mcL) in any clinical context, including malignancies, autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, and membranous glomerulonephritis among others, and treatment or prevention of acute humoral rejection in positive crossmatch renal transplant recipients (i.e. Rituximab therapy).
Evaluation of CD19 deficiency in patients with a suspected CD19 deficiency (humoral immunodeficiency)
Confirming complete absence of B cells in suspected primary humoral immunodeficiency’s using both CD19 and CD20 markers
Assessing therapeutic B-cell depletion quantitatively (% and absolute counts of cells/mcL) in any clinical context, including malignancies, autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, and membranous glomerulonephritis among others, and treatment or prevention of acute humoral rejection in positive crossmatch renal transplant recipients (i.e. Rituximab therapy).
Evaluation of CD19 deficiency in patients with a suspected CD19 deficiency (humoral immunodeficiency)
Confirming complete absence of B cells in suspected primary humoral immunodeficiency’s using both CD19 and CD20 markers
Patient Preparation
No special patient preparation required
Collection Method
Venous draw
Minimum Volume
2 mL
Container
Purple (EDTA)
Preferred Specimen
Whole Blood
Acceptable Specimens
EDTA Whole Blood
Reference or Target Ranges
Provided on report
Reportable Units
cells/μL
Critical Value
Not defined for this assay
Reasons for Rejection
Hemolysis Threshold | N/A |
Icterus Threshold | N/A |
Lipemia Threshold | N/A |
Other | QNS, contaminated, improperly labled, improper specimen type, specimen clotted |
Specimen Stability
Ambient | 24 hours |
Refrigerated (4°C to 8°C) | Do not refrigerate |
Frozen(-40°C to 0°C) | Do not freeze |
Performance Information
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Days and Time Performed | Monday – Friday 9AM – 5PM |
Expected Turn Around Time | 24 hours |
Stat Availabilty | No |
Performing Bench | Flow Cytometry |
Methodology/Method Description | BD FACSCanto II – Flow Cytometry, Dual Platform (CBC w. CD19, CD20, CD45) |
Additional Information/Important Notes
This is the correct test to order if specifically confirming the absence of B cells due to CD20 targeted immunotherapy, suspected primary humoral, combined immunodeficiency or evaluating for CD19 deficiency. This will not detect a malignancy.
If desirous of testing for a suspected B-cell lymphoma or leukemia, order Flow LLI (Leukemia Lymphoma immunophenotyping). For quantitative subsets (T/B/NK) order T/B Qn flow.
CPT Codes
86355