Attachment A - Line Items.xlsx

XLSX spreadsheet 221 KB Posted

Attached to
Q301--NEW - NTX Combined Reference Lab Testing (Anatomic, Surgical, Genetic)
Solicitation number
36C25725Q0901
Issued by

About this file

The file is an Attachment A - Line Items spreadsheet detailing a comprehensive laboratory testing services contract for the VA North Texas Healthcare System. The document lists 17 line items for specialized pathology and laboratory testing services, including tissue biopsy consultations, surgical pathology examinations, transplant biopsies, necropsies, immunohistochemistry (IHC) stains, in-situ hybridization, morphometric analysis, genetic mutation testing, flow cytometry, and cytogenetic/chromosome analyses. The line items specify detailed quantities for each service, ranging from 5 to 1,800 individual tests, with specific CPT codes and options for various specialized antibody and probe staining procedures.

The related federal contract opportunity is a pre-solicitation for the VA Veterans Health Administration Network Contracting Office 17, seeking a reference laboratory testing services contractor. The solicitation requires a vendor to provide laboratory testing services for patient specimens that VA North Texas Healthcare System cannot perform on-site, with mandatory compliance with VHA Handbook 1106.01 and 42 CFR Part 493. The contractor must hold a Centers for Medicare & Medicaid Services (CMS) accreditation and meet Clinical Laboratory Improvement Amendments (CLIA) requirements. The sources sought notice is for informational purposes to determine if sufficient small business concerns can perform the described work.

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SOW FY25 Referral Lab.pdf PDF
36C25725Q0901.docx DOCX document

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Sheet1

ITEM NUMBERSLINDESCRIPTIONQUANTITYUNIT OF MEASUREPROVIDE TESTING? (Y/N)SUBCONTRACTED? (Y/N)SUBCONTRACTOR NAMELOCATION OF TESTINGCLIA NUMBER
0001Tissue Biopsy Consultation with or without slide processing
CPT: 88321, 88332, 883231800EA
0002Level IV Surgical Pathology Examination
CPT: 8830510EA
0003Transplant Biopsy with Complement 4D IHC (Heart, Kidney, Lung)
CPT: Multiple40EA
0004Necropsy - Gross and Microscopic (Brain)
CPT: 880275EA
0005Muscle/Nerve Biopsy with IHC and/or Teased Fiber Prep
CPT: Multiple10EA
0006Initial Single Antibody Stain Procedure (immunosluorescence)
CPT: 8834630EA
0007Immunofluorescent study using a single antibody stain procedure – typically used in conjunction with CPT code 88346
CPT: 88350120EA
0008Initial single antibody immunohistochemistry (IHC) stain (See Sub-Line Items for individual antibodies and cocktails)
CPT: 88342, 88341650EA
0008AAAndrogen Receptor (AR)0EA
0008ABBeta- Catenin0EA
0008ACBreast Cancer Panel (ER, PR,HER2, Ki-67)0EA
0008ADCD56 (NCAM)0EA
0008AECD99 (MIC-2)0EA
0008AFCDX20EA
0008AGD2-400EA
0008AHDOG10EA
0008AJE-Cadherin0EA
0008AKEstrogen Receptor (SP1)0EA
0008ALGATA-30EA
0008AMGlypican 30EA
0008ANHerpes 80EA
0008APIgG0EA
0008AQIgG40EA
0008ARInhibin0EA
0008ASINSM-10EA
0008ATKi-67 (MIB-1)0EA
0008AUMelanoma panel (HMB45, M2-7C10, M2-9E3)0EA
0008AVMismatch Repair (MMR) (MLH1, MLH2, MSH6, PMS2)0EA
0008AWMOC-310EA
0008AXMyogenin0EA
0008AYNapsin A0EA
0008AZNKX3.10EA
0008BAOCT 40EA
0008BBp16 (INK4)0EA
0008BCp400EA
0008BDp504A (AMCR) -Racemase0EA
0008BEp530EA
0008BFp630EA
0008BGPax-20EA
0008BHPax-80EA
0008BJPIN-4 panel (AMACR, p63, HMWK)0EA
0008BKPLAP0EA
0008BLProgesterone receptor (PR)0EA
0008BMPTEN0EA
0008BNSALL40EA
0008BPSMAD-40EA
0008BQSmooth Muscle Myosin (SMM)0EA
0008BRSmoothelin0EA
0008BSSOX100EA
0008BTSyphilis0EA
0008BUTryptase0EA
0008BVVillin0EA
0008BWWT-1 (6F-H2)0EA
0008BXAdditional single antibody stain procedure0EA
0009Initial single probe stain procedure for insitu hybridization (ISH) *must inlcude EBV (EBER), KAPPA, LAMBDA, HPV
CPT: 8836515EA
0010Morphmetric Analysis of immunohistochemistry-stained slides * must include HER2 IHC stain, PD-L1 (Multiple Clones), Breast Cancer Panel (ER,PR,HER2 ,Ki-67)
CPT: 8836030EA
0011IHC with reflex to FISH studies must include HER2
CPT: 8836015EA
0012Factor V Leiden
CPT: 81241110EA
0013Factor II Prothrombin Mutation
CPT: 8124060EA
0014PNH
CPT: 88184, 88185, 8818815EA
0015Flow Cytometry studies - blood, tissue, bone marrow, fluid
CPT: Multiple80EA
0016Cytogenetics/Chromsome Analysis
CPT: Multiple185EA
0017Fluorescence In-situ Hybridization
CPT: Multiple285EA

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