The Early-stage NSCLC Panel analyzes 4 relevant and actionable biomarkers through a combination of multi-modality methods: EGFR (PCR), ALK (FISH), ROS1 (FISH), and PD-L1 22C3 (IHC). EGFR alterations are detected using PCR amplification and detection of target DNA using complementary primer pairs and oligonucleotide probes with fluorescent dyes. The EGFR PCR component of this panel has been designed to detect EGFR highly recurrent somatic mutations in exons 18, 19, 20, and 21 of EGFR in eight reactions (Exon 18 G719X; Exon 19 deletions; Exon 20 T790M, C797S, Exon 20-Ins and S768I; Exon 21 L858R, L861Q). Some less common EGFR mutations are not detectable in this test. For a full list of EGFR variants detectable in this assay, please contact NeoGenomics client services. Test may be ordered with an opt out of PD-L1 22C3 (IHC).
Early-stage NSCLC Panel
- FISH
- Immunohistochemistry (IHC)
- Molecular
- Epic Aura Integration
Specimen Requirements
FFPE Tissue, Paraffin block preferred. Alternatively, clients can send 1 H&E slide plus 10 unstained slides cut at 4-5 microns.
Use positively-charged slides, 10% NBF fixative. Do not use zinc fixative.
Storage and Transportation
Use cold pack for transport, making sure cold pack is not in direct contact with specimen. NYS clients please provide date and time of Collection.
CPT Code(s)*
81235x1, 88377x2, 88360x1
Turnaround time
7 Days
IHC: 2 Days
FISH: 5 Days
Molecular: 7 Days
Level of Service
- Global
Integrations
- Epic Aura
New York Approved: Yes
*The CPT codes provided with our test descriptions are based on AMA guidelines and are for informational purposes only. Correct CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed.
Biomarkers
DNA Sequencing
| SNVs + Indels | |||||
|---|---|---|---|---|---|
| EGFR | |||||
Immunohistochemistry (IHC)
| Expression | |||||
|---|---|---|---|---|---|
| PD-L1 | |||||
Fluorescence In Situ Hybridization (FISH)
| Translocation(s) | |||||
|---|---|---|---|---|---|
| ROS1 | |||||
| Amplification(s) | |||||
|---|---|---|---|---|---|
| ALK | |||||
Last Updated: March 10, 2026