Allergens, Inhalants, Midwest Comprehensive 1
0055138
Ordering Recommendation
Submit With Order
Mnemonic
MIDWEST
Methodology
Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Performed
Sun-Sat
Reported
1-2 days
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
Multiple patient encounters should be avoided.  
Collect
Serum separator tube. Multiple specimen tubes should be avoided.  
Specimen Preparation
Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.25 mL serum to an ARUP Standard Transport Tube. (Min: 1.04 mL)  
Storage/Transport Temperature
Refrigerated.  
Unacceptable Conditions
Hemolyzed, icteric, or lipemic specimens.  
Remarks
 
Stability
After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year  
Reference Interval
Allergens included: Alternaria alternata (tenuis), Cat Epithelium & Dander, Mountain Cedar (Juniper) Tree, Common/Short Ragweed, Cottonwood Tree, D. farinae (Mites), Dandelion, Dog Dander, Elm Tree, Giant Ragweed, Hormodendrum (Cladosporium), House Dust Greer, June Grass/Kentucky Bluegrass, Meadow Fescue, Maple/Box Elder Tree, Olive Tree, Orchard Grass/Cocksfoot, Perennial Rye Grass, Russian Thistle, Sagebrush/Woodworm, Timothy Grass.

Effective 02/18/2014
Reporting Range
(reported in kU/L)
Probability of IgE Mediated
Clinical Reaction
Class Scoring
Less than 0.10 No significant level detected 0
0.35 -​ 0.70 Clinical relevance undetermined 0/1
0.35 -​ 0.70 Low 1
0.71 -​ 3.50 Moderate 2
3.51 -​ 17.50 High 3
17.51 -​ 50.00 Very high 4
50.01 -​ 100.00 Very high 5
Greater than 100.00 Very high 6
Interpretive Data
Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis.
Note
CPT Code(s)
86003 per allergen
Components
Component Test Code*Component Chart Name
0055001Allergen, Fungi/Mold, A. alternata IgE
0055003Allergen, Tree, Box Elder/Maple Tree IgE
0055006Allergen, Animal, Cat Dander IgE
0055007Allergen, Tree, Mountain Cedar Tree IgE
0055010Allergen, Tree, Cottonwood Tree IgE
0055017Allergen, Grass, June/Kentucky Blue IgE
0055027Allergen, Weed, Russian Thistle IgE
0055028Allergen, Grass, Perennial Rye IgE
0055029Allergen, Weed, Sagebrush/Wormwood IgE
0055032Allergen, Grass, Timothy Grass IgE
0055038Allergen, Fungi/Mold, Hormodendrum IgE
0055041Allergen, Interp, Immunocap Score IgE
0055042Allergen, Tree, Elm Tree IgE
0055052Allergen, Grass, Orchard/Cocksfoot IgE
0055053Allergen, Grass, Meadow Fescue IgE
0055064Allergen, Mites, D. farinae IgE
0055084Allergen, Weed, Giant Ragweed IgE
0055085Allergen, Weed, Common/Short Ragweed IgE
0055086Allergen, Weed, Dandelion IgE
0055091Allergen, House Dust Greer IgE
0055155Allergen, Tree, Olive Tree IgE
0099568Allergen, Animal, Dog Dander IgE
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Cross References