Ordering Recommendation

Aid in diagnosis or monitoring of immune deficiency disorders.

Mnemonic
HUMPAN I
Methodology

Quantitative Immunoturbidimetry/Semi-Quantitative Multiplex Bead Assay

Performed

Mon-Sat

Reported

1-4 days

New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 5.5 mL serum to ARUP Standard Transport Tubes. (Min: 2.5 mL total)

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Plasma.

Remarks
Stability

After separation from cells: Ambient: Unacceptable; Refrigerated: 14 days; Frozen: 6 months (avoid repeated freeze/thaw cycles). (Refer to individual components for further information.)

Reference Interval

Effective February 16, 2021

Test Number
Components
Reference Interval
0050210 Diphtheria Antibody, IgG Antibody concentration of  > 0.1 IU/mL is usually considered protective.
0050535 Tetanus Antibody, IgG Antibody concentration of > 0.1 IU/mL is usually considered protective.
0050725 Streptococcus pneumoniae Antibodies, IgG (14 Serotypes)
0050340 Immunoglobulin A Effective February 16, 2021
0-2 years: 2-126 mg/dL
3-4 years: 14-212 mg/dL
5-9 years: 52-226 mg/dL
10-14 years: 42-345 mg/dL
15-18 years: 60-349 mg/dL
19 years and older: 68-408 mg/dL

0050350 Immunoglobulin G Effective February 16, 2021
0-2 years: 242-1108 mg/dL            
3-4 years: 485-1160 mg/dL
5-9 years: 514-1672 mg/dL     
10-14 years: 581-1652 mg/dL                   
15-18 years: 479-1433 mg/dL                         
19 years and older : 768-1632 mg/dL

0050355 Immunoglobulin M Effective February 16, 2021
0-2 years: 21-215 mg/dL                     
3-4 years: 26-155 mg/dL                                
5-9 years: 26-188 mg/dL                          
10-14 years: 47-252 mg/dL                               
15-18 years: 26-232 mg/dL
19 years and older: 35-263 mg/dL

  Immunoglobulin G Subclass 1 Effective February 16, 2021
0-2 years: 167-900 mg/dL
3-4 years: 313-941 mg/dL
5-9 years: 363-1276 mg/dL
10-14 years: 316-1076 mg/dL
15-18 years: 325-894 mg/dL
19 years and older: 240-1118 mg/dL
  Immunoglobulin G Subclass 2 Effective February 16, 2021
0-2 years: 55-359 mg/dL
3-4 years: 72-287 mg/dL
5-9 years: 27-398 mg/dL
10-14 years: 86-509 mg/dL
15-18 years: 156-625 mg/dL
19 years and older: 124-549 mg/dL
  Immunoglobulin G Subclass 3 Effective February 16, 2021
0-2 years: 34-85 mg/dL
3-4 years: 25-117 mg/dL
5-9 years: 17-169 mg/dL
10-14 years: 14-201 mg/dL
15-18 years: 34-246 mg/dL
19 years and older: 21-134 mg/dL
0050576 Immunoglobulin G Subclass 4 Effective February 16, 2021
0-2 years: 1-34 mg/dL                      
3-4 years: 1-65 mg/dL                         
5-9 years: 0-168 mg/dL                         
10-14 year: 1-103 mg/dL                    
15-18 years: 2-170 mg/dL                              
19 years and older: 1-123 mg/dL

Interpretive Data

This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.

Compliance Category

Laboratory Developed Test (LDT)

Note
Hotline History
N/A
CPT Codes

86317 x16; 82787 x4; 82784 x3

Components
Component Test Code* Component Chart Name LOINC
0050210 Diphtheria Antibody, IgG 13227-4
0050340 Immunoglobulin A 2458-8
0050350 Immunoglobulin G 2465-3
0050355 Immunoglobulin M 2472-9
0050535 Tetanus Antibody, IgG 53935-3
0050571 Immunoglobulin G Subclass 1 2466-1
0050572 Immunoglobulin G Subclass 2 2467-9
0050573 Immunoglobulin G Subclass 3 2468-7
0050576 Immunoglobulin G Subclass 4 2469-5
0050706 Pneumo serotype 1 IgG (P13,PNX) 85954-6
0050708 Pneumo serotype 4 IgG (P7,P13,PNX) 86107-0
0050709 Pneumo serotype 5 IgG (P13,PNX) 86130-2
0050713 Pneumo serotype 6B IgG (P7,P13,PNX) 27118-9
0050715 Pneumo serotype 3 IgG (P13,PNX) 86080-9
0050716 Pneumo serotype 7F IgG (P13,PNX) 25296-5
0050717 Pneumo serotype 9N IgG (PNX) 86169-0
0050718 Pneumo serotype 14 IgG (P7,P13,PNX) 85991-8
0050719 Pneumo Serotype Interpretation 42771-6
0050721 Pneumo serotype 8 IgG (PNX) 86147-6
0050722 Pneumo serotype 9V IgG (P7,P13,PNX) 30153-1
0050723 Pneumo serotype 12F IgG (PNX) 85977-7
0050724 Pneumo serotype 18C IgG (P7,P13,PNX) 27395-3
0050726 Pneumo serotype 19F IgG (P7,P13,PNX) 86024-7
0050727 Pneumo serotype 23F IgG (P7,P13,PNX) 86064-3
* 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
  • Diphtheria Antitoxoid
  • Diphtheria IgG
  • Immunoglob subclasses
  • Strep Pneumoniae
  • Tetanus Antitoxoid
  • Tetanus IgG
Humoral Immunity Panel I