ALLERGEN PANEL, ADULT FOOD, SERUM

Additional Codes

Software	Test Code
Label Text	AFAP
EPIC	LAB10184

Performing Laboratory

NorDx Laboratories

Useful For

Panel includes: IGE, Total, Clam (F207C), Corn/Maize (F8C), Cod (F3C), Egg white (F1C), Lobster (F80C), Milk,cow (F2C), Peanut (F13C), Shrimp (F24C), Soybean (F14C), Walnut (Juglans) (F256C), Wheat (F4C), Scallop (F338C), Sesame Seed (F10C)

The multiallergen IgE antibody test, combined with measurement of IgE, Total in serum, is a very sensitive first-order test for allergic disease. Positive results indicate a high probability of allergic disease induced by one or more allergens present in the multiallergen panel. Negative results effectively rule out allergy, except in rare cases of allergic disease induced by exposure to a single allergen.

Method Name

Chemiluminescent Microparticle Immunoassay (CMIA)

Reference Values

< 0.10 kU/L : Undetectable (Normal)

0.10-0.34 kU/L: For specialist use only: Clinical Relevance Undetermined

0.35-0.69 kU/L: Low level of allergy, indicative of ongoing sensitization

0.70-3.49 kU/L: Moderate level of allergy, indicative of stronger ongoing sensitization

3.5-17.49 kU/L: High level of allergy, indicative of high level sensitization

17.5-49.9 kU/L: Very high level of allergy, indicative of very high level sensitization

50-99.9 kU/L: Very high level of allergy, indicative of very high level sensitization

≥ 100 kU/L: Very high level of allergy, indicative of very high sensitization

CONCENTRATION (kU/L) RESULTS EQUIVALENT TO ALTERNATIVE SCORING METHOD:

CLASS 0: <0.22

CLASS 0/1: 0.22-0.31

CLASS 1: 0.31-0.55

CLASS 2: 0.55-1.4

CLASS 3: 1.4-3.9

CLASS 4: 3.9-19

CLASS 5: 19-100

CLASS 6: >100

Days and Times Test Performed

Monday through Friday

Report Available

1 Day

Profile Information

Individual Test Description
CLAM IGE
CODFISH IGE
CORN IGE
EGG WHITE IGE
IGE, TOTAL
LOBSTER IGE
MILK, COW IGE
PEANUT IGE
SCALLOP IGE
SESAME SEED IGE
SHRIMP IGE
SOYBEAN IGE
WALNUT JUGLANS IGE
WHEAT IGE

Specimen Type

Serum

Preferred Container

Serum Separator Tube (SST)

Preferred Volume

Serum: 2 mL (Serum Separator Tube (SST))

Minimum Volume

Collecting minimum volumes can result in a need for sample recollection, and/or a delay in results. Minimum volumes are subjective and cannot account for all aspects of specimen and testing needs. Refer to the Preferred Volume section for optimal volumes for laboratory specimens.

Serum: 1.5 mL (Serum Separator Tube (SST))

Specimen Collection and Handling

Spin specimen, separate from clot and send refrigerated.

Specimen Stability Information

Specimen Type: Serum

Frozen: 3 Months

Refrigerated: 7 Days

Must be spun/separated within: 2 Hours

Note: Avoid freeze/thaw cycles

Add On Capable

Yes

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code	CPT Description	CPT Disclaimer
86003 x13	Allergen Specific IgE, Quantitative or Semiquantitative, Crude Allergen Extract, Each

Keywords

ALLERGEN-MULTIPLE

ALLERGENS

Performing Laboratory Location