ALLERGEN PANEL, REGION 1 - NorDx Test Catalog

Additional Codes

Software	Test Code
Label Text	R1AP
EPIC	LAB11113

Performing Laboratory

NorDx Laboratories

Useful For

Providing a very sensitive first-order test for allergic disease when combined with measurement of IgE, Total

Method Name

ImmunoCAP® Fluorescence Enzyme Immunoassay (FEIA)

Reference Values

ALLERGEN SPECIFIC IGE:

< 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

IGE TOTAL:

ADULT (≥ 11 years) 0.0-100.0 kU/L 84 %

Non-atopic: <25 kU/L 78 %

Borderline clinical significance: 25-100 kU/L

Atopic: >100 kU/L

CHILDREN

0-6 weeks: 0.0-2.9 kU/L

7 weeks-3 months: 0.0-5.1 kU/L

4-6 months: 0.0-9.0 kU/L

7-9 months: 0.0-12.6 kU/L

10-12 months: 0.0-16.2 kU/L

13 months-2 years: 0.0-28.7 kU/L

3 years: 0.0-40.0 kU/L

4 years: 0.0-50.0 kU/L

5 years: 0.0-60.0 kU/L

6 years: 0.0-70.0 kU/L

7 years: 0.0-79.0 kU/L

8 years: 0.0-89.0 kU/L

9 years: 0.0-98.0 kU/L

10 years: 0.0-107 kU/L

Days and Times Test Performed

Monday through Friday

Report Available

1 Day

Profile Information

Individual Test Description
ALTERNARIA ALTERNATA IGE
ASH, WHITE IGE
ASPERGILLUS FUMIGATUS IGE
BERMUDA GRASS IGE
BIRCH, SILVER IGE
CAT DANDER IGE
CLADOSPORIUM HERBARUM IGE
COCKROACH GERMAN IGE
COTTONWOOD, EASTERN IGE
D. FARINAE IGE
D. PTERONYSSINUS IGE
DOG DANDER IGE
ELM, AMERICAN IGE
IGE, TOTAL
JUNIPER, MOUNTAIN IGE
MAPLE / BOX ELDER IGE
MUGWORT IGE
MULBERRY IGE
OAK, WHITE IGE
PENICILLIUM CHRYSOGENUM IGE
PIGWEED COMMON IGE
RAGWEED, COMMON / SHORT IGE
SHEEP SORREL IGE
SYCAMORE IGE
TIMOTHY GRASS 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
82785	Gammaglobulin (Immunoglobulin); IgE, Quantitative
86003 x24	Allergen Specific IgE, Quantitative or Semiquantitative, Crude Allergen Extract, Each

Performing Laboratory Location