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Allergens, Inhalants, Southwest Extended Profile
Ordering Recommendation
New York DOH Approval Status
Specimen Required
Multiple patient encounters should be avoided.
Serum separator tube. Multiple specimen tubes should be avoided.
Separate serum from cells ASAP or within 2 hours of collection. Transfer 3.25 mL serum to an ARUP Standard Transport Tube. (Min: 1.44 mL)
Refrigerated.
Hemolyzed, icteric, or lipemic specimens.
After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
Methodology
Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Performed
Sun-Sat
Reported
1-3 days
Reference Interval
Allergens included: Alternaria alternata (tenuis), Aspergillus fumigatus, Bahia Grass, Bermuda Grass, Cat Epithelium & Dander, Cottonwood Tree, D. farinae (Mites), Dog Dander, Egg White, Elm Tree, Giant Ragweed, False Ragweed, Hormodendrum (Cladosporium), House Dust Greer, House Dust Stier, Johnson Grass, June Grass/Kentucky Bluegrass, Lamb's Quarters, Box Elder/Maple Tree, Marsh Elder, Mesquite Tree, Milk (Cow's), Mountain Cedar (Juniper) Tree, Oak Tree, Pecan (White Hickory) Tree, Penicillium notatum, Russian Thistle, Timothy Grass, Wheat, White Ash Tree, Sagebrush/Wormwood.
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 |
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.
FDA
Note
Hotline History
CPT Codes
86003 x31
Components
| Component Test Code* | Component Chart Name | LOINC |
|---|---|---|
| 0050910 | Allergen, Weed, Marsh Elder IgE | 6232-3 |
| 0055001 | Allergen, Fungi/Mold, A. alternata IgE | 6020-2 |
| 0055003 | Allergen, Tree, Box Elder/Maple Tree IgE | 7155-5 |
| 0055006 | Allergen, Animal, Cat Dander IgE | 6833-8 |
| 0055007 | Allergen, Tree, Mountain Cedar Tree IgE | 6178-8 |
| 0055010 | Allergen, Tree, Cottonwood Tree IgE | 6090-5 |
| 0055013 | Allergen, Food, Egg White IgE | 6106-9 |
| 0055014 | Allergen, Weed, False Ragweed IgE | 6115-0 |
| 0055017 | Allergen, Grass, June/Kentucky Blue IgE | 6153-1 |
| 0055020 | Allergen, Food, Milk (Cow) IgE | 7258-7 |
| 0055027 | Allergen, Weed, Russian Thistle IgE | 6234-9 |
| 0055029 | Allergen, Weed, Sagebrush/Wormwood IgE | 6286-9 |
| 0055032 | Allergen, Grass, Timothy Grass IgE | 6265-3 |
| 0055034 | Allergen, Food, Wheat IgE | 6276-0 |
| 0055038 | Allergen, Fungi/Mold, Hormodendrum IgE | 6075-6 |
| 0055041 | Allergen, Interp, Immunocap Score IgE | 48767-8 |
| 0055042 | Allergen, Tree, Elm Tree IgE | 6109-3 |
| 0055045 | Allergen, Tree, Oak Tree IgE | 6189-5 |
| 0055047 | Allergen, Grass, Johnson Grass IgE | 6152-3 |
| 0055061 | Allergen, Fungi/Mold, A. fumigatus IgE | 6025-1 |
| 0055064 | Allergen, Mites, D. farinae IgE | 6095-4 |
| 0055070 | Allergen, Grass, Bermuda Grass IgE | 6041-8 |
| 0055073 | Allergen, Tree, White Ash Tree IgE | 6278-6 |
| 0055080 | Allergen, Fungi/Mold, P. notatum IgE | 6212-5 |
| 0055084 | Allergen, Weed, Giant Ragweed IgE | 6124-2 |
| 0055091 | Allergen, House Dust Greer IgE | 9828-5 |
| 0055092 | Allergen, House Dust Stier IgE | 7425-2 |
| 0055140 | Allergen, Tree, Mesquite Tree IgE | 6173-9 |
| 0055145 | Allergen, Tree, Pecan Tree IgE | 6209-1 |
| 0055151 | Allergen, Grass, Bahia IgE | 6034-3 |
| 0055160 | Allergen, Weed, Lambs Quarters IgE | 6156-4 |
| 0099568 | Allergen, Animal, Dog Dander IgE | 6098-8 |
