Ordering Recommendation
Mnemonic
INHALE 28
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 3.14 mL to an ARUP Standard Transport Tube. (Min: 1.6 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

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.

Compliance Category

FDA

Note

Allergens included: Bermuda Grass, Pigweed, Western Ragweed, Sagebrush/Wormwood, Kochia/Firebush, English Plantain, Oak Tree, Mountain Cedar (Juniper) Tree, Box Elder/Maple Tree, Alder Tree, Birch Tree, Olive Tree, Alternaria alternata (tenuis),Aspergillus fumigatus, Candida albicans, Hormodendrum (Cladosporium), Penicillium notatum, Mucor racemosus, Phoma betae, Aureobasidium pullulans, Rhizopus nigricans, Cat Dander, Dog Dander, Cockroach (German), Horse Hair & Dander, Feather Mix, D. farina  (mites), D. pteronyssinus (mites).

Hotline History
N/A
CPT Codes

86003 x27; 86005

Components
Component Test Code* Component Chart Name LOINC
0055001 Allergen, Fungi/Mold, A. alternata IgE 6020-2
0055003 Allergen, Tree, Box Elder/Maple Tree IgE 7155-5
0055004 Allergen, Fungi/Mold, C. albicans IgE 6059-0
0055006 Allergen, Animal, Cat Dander IgE 6833-8
0055007 Allergen, Tree, Mountain Cedar Tree IgE 6178-8
0055018 Allergen, Weed, Kochia/Firebush IgE 6118-4
0055025 Allergen, Weed, Pigweed IgE 7604-2
0055029 Allergen, Weed, Sagebrush/Wormwood IgE 6286-9
0055035 Allergen, Weed, Western Ragweed IgE 6275-2
0055037 Allergen, Animal, Feather Mix IgE 31161-3
0055038 Allergen, Fungi/Mold, Hormodendrum IgE 6075-6
0055041 Allergen, Interp, Immunocap Score IgE 33536-4
0055045 Allergen, Tree, Oak Tree IgE 6189-5
0055049 Allergen, Weed, English Plantain IgE 6110-1
0055058 Allergen, Tree, Birch Tree IgE 15283-5
0055059 Allergen, Animal, Horse Hair/Dander IgE 30088-9
0055061 Allergen, Fungi/Mold, A. fumigatus IgE 6025-1
0055063 Allergen, Mites, D. pteronyssinus IgE 6096-2
0055064 Allergen, Mites, D. farinae IgE 6095-4
0055070 Allergen, Grass, Bermuda Grass IgE 6041-8
0055080 Allergen, Fungi/Mold, P. notatum IgE 6212-5
0055088 Allergen, Insect, Cockroach, German IgE 6078-0
0055155 Allergen, Tree, Olive Tree IgE 6192-9
0055383 Allergen, Fungi/Mold, A. pullulans IgE 6029-3
0055390 Allergen, Fungi/Mold, Phoma betae IgE 6216-6
0055442 Allergen, Fungi/Mold, M. racemosus IgE 6182-0
0099486 Allergen, Tree, Alder Tree IgE 15284-3
0099555 Allergen, Fungi/Mold, R. nigricans IgE 6229-9
0099568 Allergen, Animal, Dog Dander IgE 6098-8
* 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
Allergens, Inhalants, Profile 28 IgE