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HelpTest Code IFAP ALLERGEN INFANT FOOD PANEL
Additional Codes
| Software | Test Code |
|---|---|
| Label Text | IFAP |
| EPIC | LAB10266 |
Performing Laboratory
NorDx Laboratories
Useful For
Establishing the diagnosis of an allergic disease and defining the allergens responsible for eliciting signs and symptoms.
Panel includes: Egg white (F1C), Egg yolk (F75C), Milk, cow (F2C), Peanut (F13C), Soybean (F14C), and Wheat (F4C)
If an IgE, total, is desired, please order individually “IGET”.
Method Name
ImmunoCAP® Fluorescence Enzyme Immunoassay (FEIA)
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 |
|---|
| EGG WHITE IGE |
| EGG YOLK IGE |
| MILK, COW IGE |
| PEANUT IGE |
| SOYBEAN IGE |
| WHEAT IGE |
Specimen Type
Serum
Preferred Container
Serum Separator Tube (SST)
Preferred Volume
Serum: 2 mL (Serum Separator Tube (SST))
Minimum Volume
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 x6 | Allergen Specific IgE, Quantitative or Semiquantitative, Crude Allergen Extract, Each |
Keywords
ALLERGEN-MULTIPLE
ALLERGENS
Performing Laboratory Location
NorDx Laboratories
Clinical Significance
When an “R” precedes the test name to a specific allergen, it indicates that the test was developed and its performance characteristics determined by NorDx.
It has not been cleared or approved by the FDA.
Acceptable Alternative Container(s)
Red Top Tube
Green Top Tube (Sodium Heparin) – This container/specimen type is only acceptable with departmental approval. Do not use for routine sample collection and analysis.