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Test Code SAP ALLERGEN SEASONAL PANEL

Additional Codes

Software Test Code
Label text SAP
EPIC LAB10909

Performing Laboratory

NorDx Laboratories

Useful For

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

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

BIRCH, SILVER IGE
ELM, AMERICAN IGE
ENGLISH PLANTAIN IGE
JUNE / KENTUCKY BLUE GRASS IGE
LAMB’S QUARTERS IGE
MAPLE / BOX ELDER IGE
OAK, WHITE IGE
RAGWEED, COMMON / SHORT IGE
RYE GRASS 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

Not Permitted

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 x10 Allergen Specific IgE, Quantitative or Semiquantitative, Crude Allergen Extract, Each  

Keywords

ALLERGENS

Performing Laboratory Location

NorDx Laboratories

Clinical Significance

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.

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.