Test Code CD4RT CD4 T-Cell Recent Thymic Emigrants, Blood
Reporting Name
CD4 RTE, Flow CytometryUseful For
Evaluating thymic reconstitution in patients following hematopoietic cell transplantation, chemotherapy, immunomodulatory therapy, and immunosuppression
Evaluating thymic recovery in patients who are HIV-positive and on highly active antiretroviral therapy
Evaluating thymic output in patients with DiGeorge syndrome or other cellular immunodeficiencies
Assessing the naive T-cell compartment in a variety of immunological contexts (autoimmunity, cancer, immunodeficiency, and transplantation)
Identification of thymic remnants post-thymectomy for malignant thymoma or as an indicator of relapse of disease (malignant thymoma) or other contexts of thymectomy
Testing Algorithm
For information see Newborn Screen Follow-up for Severe Combined Immunodeficiency Syndrome (SCID).
Method Name
Flow Cytometry
Performing Laboratory
Mayo Clinic Laboratories in RochesterSpecimen Type
Whole Blood EDTAShipping Instructions
Testing is performed Monday through Friday. Specimens not received by 4 p.m. (CST) on Friday may be canceled.
Samples arriving on the weekend and observed holidays may be canceled.
Collect and package specimen as close to shipping time as possible. Ship specimen overnight in an Ambient Shipping Box-Critical Specimens Only (T668) following the instructions in the box.
It is recommended that specimens arrive within 24 hours of collection.
Necessary Information
Ordering healthcare professional name and phone number are required.
Specimen Required
Supplies: Ambient Shipping Box-Critical Specimens Only (T668)
Container/Tube: Lavender top (EDTA)
Specimen Volume: 3 mL
Collection Instructions: Send whole blood specimen in original tube. Do not aliquot.
Specimen Minimum Volume
1.5 mL
Reject Due To
Gross hemolysis | Reject |
Gross lipemia | Reject |
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Whole Blood EDTA | Ambient | 48 hours | PURPLE OR PINK TOP/EDTA |
Special Instructions
Reference Values
CD4 Absolute
Males
1 month-17 years: 153-1745 cells/mcL
18-70 years: 290-1,175 cells/mcL
Reference values have not been established for patients that are younger than 30 days of age.
Reference values have not been established for patients that are older than 70 years of age.
Females
1 month-17 years: 582-1630 cells/mcL
18-70 years: 457-1,766 cells/mcL
Reference values have not been established for patients that are younger than 30 days of age.
Reference values have not been established for patients that are older than 70 years of age.
CD4 RTE %
Males
1 month-17 years: 19.4-60.9%
18-25 years: 6.4-51.0%
26-55 years: 6.4-41.7%
≥56 years: 6.4-27.7%
Reference values have not been established for patients that are younger than 30 days of age.
Reference values have not been established for patients that are older than 70 years of age.
Females
1 month-17 years: 25.8-68.0%
18-25 years: 6.4-51.0%
26-55 years: 6.4-41.7%
≥56 years: 6.4-27.7%
Reference values have not been established for patients that are younger than 30 days of age.
Reference values have not been established for patients that are older than 70 years of age.
CD4 RTE Absolute
Males
1 month-17 years: 50.0-926.0 cells/mcL
18-70 years: 42.0-399.0 cells/mcL
Reference values have not been established for patients that are younger than 30 days of age.
Reference values have not been established for patients that are older than 70 years of age.
Females
1 month-17 years: 170.0-1007.0 cells/mcL
18-70 years: 42.0-832.0 cells/mcL
Reference values have not been established for patients that are younger than 30 days of age.
Reference values have not been established for patients that are older than 70 years of age.
Day(s) Performed
Monday through Friday
CPT Code Information
86356
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
CD4RT | CD4 RTE, Flow Cytometry | In Process |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
89504 | CD4 Absolute (cells/uL) | 24467-3 |
29536 | CD4 RTE % | 8123-2 |
29535 | CD4 RTE Absolute | 24467-3 |
29178 | Interpretation | 69052-9 |