**For Immediate Release**



IOC, Jointly Publishes Letter To The Editor In International Allergy Journal On Cost Savings Versus CRS Surgery read release


IOC, LLC Signs Up It’s Newest Flow Cytometry Technical Consultant For

In-Office Flow Laboratories In The Washington, DC Suburbs of Virginia read release


IOC, LLC Signs Up It’s Newest Flow Cytometry Technical Consultant For

In-Office Flow Laboratory In Columbus, OH. read release



In-Office Cytometry (IOC) Launches Flow Cytometry Test To Differentiate Peanut Allergy and Reduce Oral Food Challenges read release


Amerimmune, LLC, Announces Arrangement With Quest Diagnostics For Phlebotomy Services to Assist Patient Requests for Advanced Immunodeficiency Testing Work Ups read release



In-Office Cytometry (IOC) Launches New Business Model for Shared In-Office Flow Cytometry Laboratories for Advanced Immunophenotyping read release



In-Office Cytometry (IOC) Adds David Kemler As Project Manager to

Help Install Flow Cytometry Laboratories In Specialists Offices

read release



In-Office Cytometry (IOC) Launches New Business Model To Install

Flow Cytometry Laboratories In Specialists Offices read release

FAQ's (Frequently Asked Questions)


Top 10 FAQ’s For Your In-Office Cytometry Laboratory


1. I do not order this testing now so why should I consider adding this testing to my practice?

These advanced immunophenotyping panels are currently only available from academic medical center immunology departments. Easy access to this advanced technology is not readily available to you. Dealing with academic centers for referral testing is often very difficult and expensive. Our panels were developed at the NIH by Oral Alpan, MD who is a boarded allergist/immunologist. He has updated and refined them in his own in-office flow lab for his busy practice in Fairfax, VA. We want to bring this advanced technology straight to your practice for the benefit of your patients and your practice. Dr. Alpan is more than willing to meet with your group and explain the technology and how it can benefit your practice as it has done to his practice.


2. Quest/LabCorp both offer immunophenotyping panels with the same cpt codes as your panels. What makes your panels any different?

There are only 3 CPT codes in all immunophenotyping panels (88184/88185/88189). These codes have been used for over 30 years for flow cytometry testing mainly for oncology patients. However, there are hundreds of markers that fall under those codes. Major reference labs offer panels that are woefully out of date vs. IOC panels. In other words, you are not getting state of the art immunodeficiency testing from Quest/LabCorp like IOC is offering.


3. Do Medicare/Medicaid/Private insurance reimburse for this testing?

All payers reimburse for this testing. The billing breakdown is as follows:


CPT code 88184 - 1st marker


CPT code 88185 - each additional marker


CPT code 88189 - interpretation (PC by a pathologist)


IOC uses 36 markers total in their panels. We also have a nationally recognized expert to help your practice negotiate rates for these codes as part of our services.


4. Is pre-authorization required for each test ordered?

There is NO pre-authorization required for ordering these panels. These panels are not classified as genetic or molecular testing.  These codes are actually located in the well established anatomic pathology cpt code series.


5. Will this testing replace my current technologies in my practice (endoscopy, surgery, medications)?

You will still need to use the above technologies to treat patients after an immunodeficiency diagnosis of your patient. These testing panels will greatly assist and enhance your treatment and/or medical management of that patient’s condition. You will be able to ascertain the actual cause of the patient disease or condition. Using this technology will literally change the way you practice medicine.


6. With Medicare fee cuts we hear this concept is dead?

Vested interest stakeholders trying to prevent competition spread these rumors. Even if your practice is 100% Medicare the IOC model is minimally affected by any Medicare fee cuts. Our labs are designed to be highly efficient so they enjoy a much greater than average margin with virtually no fixed-cost overhead like commercial labs or hospitals. This is still a great investment with a usual six-month return. You also have an asset that can be valuable if your ever have an opportunity to merge or sell your practice in the future


7. What does it cost to build and equip an in-office cytometry laboratory?

An IOC cytometry laboratory utilizes only new equipment from leading manufacturers to produce a quality laboratory. We offer a “per patient at risk” option. If you don’t make money, IOC doesn’t make money”.

8. Can we diagnose cases for other practices with our in-office laboratory?
NO and YES.

NO. A stand alone in-office lab cannot accept patients from other practices for processing and testing. This violates the Stark Law.
YES Current regulations permit practices in the same postal address to legally share a cytometry lab for start up costs, labor and operating expenses. There are additional requirements from a regulatory standpoint but IOC has experience in this area as we have done such arrangements successfully.


9. How much space do we need? There isn’t much space in our office.

The ideal minimum is 180 square feet. You should beware of anyone telling you they can install a fully functional clinical flow cytometry lab in less square footage. Putting cytometry labs in basically small closets is not our idea of quality, nor state of the art, nor efficient or productive.


10. How much return can each partner earn on this arrangement per year?

“To qualify for our model all you need is 20 samples/month sent out to your reference cytometry laboratory.” IOC provides an economic analysis for your practice. Each practice is unique. Contact us (800.280.3785) for a no charge qualification evaluation.


11. Do you need pre-authorization for these tests with the payers?

NO. The CPT codes used are all standardized codes recognized by Medicare and all private payers.


12. How do we get phlebotomy services for these patients?

Most hospital laboratories will provide that service as they can bill and collect for the service. Any private reference laboratory can also provide the same service as long as you give them your routine lab work. If you have another practice in your medical building or across the street from your practice that draws blood they will probably do the service if you let them bill for the service. In some metropolitan areas their are independent phlebotomy services that will come to your office and draw patients on a specified schedule. IOC can help with the arrangements for any of these outlets.


13. We do not currently refer 20 samples/month for this type of testing. In fact, we do not have easy access to this type of testing. However, we still want to be involved in having our own flow cytometry lab. How can we accomplish this task with IOC's help?

By using a “block shared lease arrangement” IOC has established several shared laboratories. Think "time share condo" but for a flow laboratory. We will put together up to 5 practices of varying specialties (allergist/immunologist, pediatric GI, adult GI, ENT, etc.) to share all the capital expenses and monthly operating expenses for an IOC laboratory. Each group does their own billing and collecting. Each group pays their fair share of the expenses. This set up is perfect for five groups that do not have enough sample volume on their own to set up an IOC shared flow lab. This flow laboratory will be economical and efficient for their owners. We have several shared lab references that can be provided upon written request. We already have plans to install three of these shared laboratories. If interested in this unique and compliant program please call us at 800.280.3785 for more details.


“From research bench to the specialist office”

109 Brendylynn Tr. Woodstock, GA 30188

(p) 800. 280.3785

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