Hypersensitivity Pneumonitis Extended Panel (Farmer's Lung Panel)
Ordering Recommendation

Evaluate patients suspected of having hypersensitivity pneumonitis induced by exposure to Aspergillus fumigatus, Thermoactinomyces vulgaris, Aurebasidium pullulans, Micropolyspora faeni, Aspergillus flavus, Saccharomonospora viridis, Thermoactinomyces candidus, or pigeon serum.

Qualitative Immunodiffusion/Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
3-7 days
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
ARUP Consult®
Disease Topics
Specimen Required
Patient Preparation
Serum Separator Tube (SST). 
Specimen Preparation
Separate from cells ASAP or within 2 hours of collection. Transfer two 2.5 mL aliquots of serum to individual ARUP Standard Transport Tubes. (Min: 1 mL Per aliquot) 
Storage/Transport Temperature
Unacceptable Conditions
Plasma. Contaminated, hemolyzed, or severely lipemic specimens. 
After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles) 
Reference Interval
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.

Compliance Statement A: For laboratory developed tests using a manufacturer labeled ASR as the reagent providing the specificity of the assay. Analyte Specific Reagent. This test was developed and its performance characteristics determined by ARUP Laboratories. The U. S. Food and Drug Administration has not approved or cleared this test; however, the FDA has determined that such clearance or approval is not necessary.

Testing includes antibodies directed at Aspergillus fumigatus #1, A. fumigatus #2, A. fumigatus #3, A. fumigatus #6, A. flavus, Aureobasidium pullulans, Micropolyspora faeni, Thermoactinomyces vulgaris #1, T. candidus, Saccharomonospora viridis and pigeon serum. Testing also includes the following allergens: Feather Mix, Beef, Pork, and Phoma betae.
Hotline History
View Hotline History
CPT Code(s)
86003 x3; 86005; 86331 x6; 86606 x5
Component Test Code*Component Chart NameLOINC
0055037Allergen, Animal, Feather Mix IgE31161-3
0055041Allergen, Interp, Immunocap Score IgE33536-4
0055066A. fumigatus #1 Ab, Precipitin6808-0
0055067A. fumigatus #6 Ab, Precipitin6809-8
0055068A. pullulans Ab, Precipitin6810-6
0055069Pigeon Serum Ab, Precipitin6733-0
0055071M. faeni Ab, Precipitin6818-9
0055072T. vulgaris #1 Ab, Precipitin35317-7
0055096Allergen, Food, Beef IgE6039-2
0055220A. flavus Ab, Precipitin23820-4
0055221A. fumigatus #2 Ab, Precipitin30036-8
0055222A. fumigatus #3 Ab, Precipitin15151-4
0055223S. viridis Ab, Precipitin15209-0
0055224T. candidus Ab, Precipitin21560-8
0055390Allergen, Fungi/Mold, Phoma betae IgE6216-6
0099780Allergen, Food, Pork IgE6219-0
* 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.
  • Farmer's Lung Panel
  • HP
  • Hyper Pneumo
  • hypersensitivity pneumonitis