Update Type: New Tests
Test Updated: 08/27/2025
Test Overview
Test Methodology

Flow Cytometry Immunophenotyping

Test Usage

Screening or confirming the diagnosis of Paroxysmal Nocturnal Hemoglobinuria (PNH). See http://www.pathology.med.umich.edu/handbook/Tables/Flow_Cytometry_Panel… for all Flow Cytometry Panels.

Reference Range *

RED BLOOD CELLS: PNH RBC-Partial Antigen Loss: 0.00-0.02%
PNH RBC-Complete Antigen Loss: 0.00-0.01%
PNH Granulocytes: 0.00-0.01%
PNH Monocytes: 0.00-0.1%

*Reference ranges may change over time. Please refer to the original patient report when evaluating results.*

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Test Limitations

Requires an adequate number of viable cells for analysis. Improper collection or transport may result in decreased cell viability and cancellation of testing.

Test Details
Days Set Up
Monday-Saturday, 8:00am-4:30pm
Soft Order Code
PNHRW
MiChart Code
Paroxysmal Nocturnal Hemoglobinuria (PNH) Profile; Blood, Flow Cytometry
Synonyms
    Laboratory
    Flow Cytometry
    Section
    Flow Cytometry
    Specimen Requirements
    Collection Instructions

    Offsite Collection:
    The following information is required on a Hematopathology Consult requisition:

    1. Relevant clinical history
    2. Clinical or morphological findings and suspicions
    3. Date and time of collection
    4. Phone number and after hours pager number for ordering physician

    * Collect blood in a yellow top ACD A or B Vacutainer® tube. (EDTA is acceptable)
    * Send intact specimen at room temperature within 12 hours of collection. Specimen should arrive at the Flow Cytometry Lab within 72 hours of collection.
    * Do not freeze.

    Alternate Specimen
    Lavender EDTA Vacutainer® tubes are acceptable but not preferred.
    Normal Volume
    2.6-10 ml ACD (solution A or B) whole blood
    Minimum Volume
    1 ml ACD (solution A or B) whole blood
    Storage Temperature
    Ambient preferred, refrigerated acceptable
    Rejection Criteria
    Green top with lithium heparin is unacceptable.
    Clotted peripheral blood specimens are unacceptable.
    Samples with gross hemolysis are unacceptable.
    Additional Information

    Test includes WBC panel (CD14, CD15, CD24, CD45, CD64, FLAER) and RBC panel (CD235a, CD59). Test includes pathologist interpretation of results billed as a separate additional charge. This test is not available without interpretation. Additional markers will be run if clinically indicated. By ordering this test the clinician acknowledges that additional reflex testing will be performed and billed at a separate additional charge if indicated. For consultation, contact the MLabs Client Services Center or Flow Cytometry Laboratory at 76-39420.

    Billing
    CPT Code
    88184 x2, 88185 x6
    Fee Code
    21582,21583,23041 x6
    Pro Fee CPT
    88187
    Pro Fee Code
    88187
    NY State Approved
    No