Hypersensitivity Pneumonitis Extended Panel (Farmer's Lung Panel)
0050157
Ordering Recommendation
 
Mnemonic
HYPER EXT
Methodology
Qualitative Immunodiffusion/Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Performed
Sun-Sat
Reported
3-7 days  
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
Specimen Required
Patient Preparation
  
Collect
Serum separator tube.  
Specimen Preparation
Separate serum 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)  
Storage/Transport Temperature
Refrigerated.  
Unacceptable Conditions
Plasma. Contaminated, hemolyzed, or severely lipemic specimens.  
Remarks
  
Stability
Refer to individual components.  
Reference Interval
 
 
Test Number Components Reference Interval
 A. fumigatus #1 Ab, Precipitin None detected
 A. fumigatus #6 Ab, Precipitin None detected
 A. pullulans Ab, Precipitin None detected
 Pigeon Serum, Ab, Precipitin None detected
 M. faeni Ab, Precipitin None detected
 T. vulgaris #1 Ab Precipitin None detected
 A. flavus Ab, Precipitin None detected
 A. fumigatus #2 Ab, Precipitin None detected
 A. fumigatus #3 Ab, Precipitin None detected
 S. viridis Ab, Precipitin None detected
 T. candidus Ab, Precipitin None detected
 T. sacchari Ab, Precipitin None detected
0055390Allergen, Fungi and Molds, Phoma betae 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
0.10 -​ 0.34 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
0055096Allergen, Food, Beef 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
0.10 -​ 0.34 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
0099780Allergen, Food, Pork 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
0.10 -​ 0.34 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
0055037Allergen, Epidermals and Animal Proteins, Feather Mix Negative
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 vivoreactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis.

See Compliance Statement A: www.aruplab.com/CS
Statement A: Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. 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, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. This test should not be regarded as investigational or for research use.
 
Note
Testing includes antibodies directed at Aspergillus fumigatus #1, Aspergillus fumigatus #6, Aureobasidium pullulans, Micropolyspora faeni, Thermoactinomyces vulgaris #1, Aspergillus flavus, Aspergillus fumigatus #2, Aspergillus fumigatus #3, Saccharomonospora viridis, Thermoactinomyces candidus and Thermoactinomyces sacchari.
CPT Code(s)
86003 x3; 86005; 86331 x7; 86606 x5
Components
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, Precipitin6821-3
0055096Allergen, Food, Beef IgE6039-2
0055220A. flavus Ab, Precipitin23820-4
0055221A. fumigatus #2 Ab, Precipitin29334-0
0055222A. fumigatus #3 Ab, Precipitin15151-4
0055223S. viridis Ab, Precipitin22572-2
0055224T. candidus Ab, Precipitin21560-8
0055225T. sacchari Ab, Precipitin21561-6
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.
Aliases
  • Farmer's Lung Panel
  • HP
  • Hyper Pneumo
  • hypersensitivity pneumonitis