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Department of Pathology

CD4/CD8 (089-3195)

Synonyms:   CD4; CD8

CPT Code(s):   86360 (CD4/CD8); 86361 (if ordered as only CD4)

Test Order Mnemonic:   CD4CD8; CD4

Lab:   Flow Cytometry

Test Includes:   CD4%, CD8% (when ordered as CD4CD8), CD4/CD8 ratio (when ordered as CD4CD8), Absolute CD4#, Absolute CD8# (when ordered as CD4CD8)

Applies To:   Aids in monitoring the lymphocyte subsets of patients with immune deficiency diseases, autoimmune disease or immune reactions.

Request Form:   Hematology B

Collection:   Routine venipuncture

Storage Instructions:   Store at room temperature (18-22°C). DO NOT REFRIGERATE.

Cause For Rejection:   Clotted, QNS, hemolysis, identification error, specimen refrigerated, specimens received on weekend and holidays, specimen received after noon cut off on Fridays.

Availability:   Samples are accepted in Sample Management, 5.136 McCullough,
Monday-Thursday (8AM-5PM). Friday cut-off time is noon.

Turnaround Time:   48 hours

Specimen:   Blood

Volume:   4 ml

Minimum Volume:   1 ml

Container:   EDTA (Lavender-top tube); pediatric tube acceptable

Reference Ranges:

Age CD4% CD4#/CMM CD8% CD8#/CMM CD4/CD8 ratio
0-3mo 35-64 1600-4000 12-28 560-1700  
3-6mo 35-56 1800-4000 12-23 590-1600  
6-12mo 31-56 1400-4300 12-24 500-1700  
1-2y 32-51 1300-3400 14-30 620-2000  
2-6y 28-47 700-2200 16-30 490-1300  
6-12y 31-47 650-1500 18-35 370-1100  
12-18y 31-52 530-1300 18-35 330-920  
>18y 31-60 410-1590 13-41 190-1140 0.8-4.2

Test Methodology:   Flow cytometry

Interfering Substances:   Cephalosporins; elevated lipids, Zidovudine (AZT), Nicotine, Corticosteroids, diurnal variation

Reviewed 4/14/08, by J Patel, MT (ASCP)

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