Ordering Recommendation

New York DOH Approval Status

This test is New York state approved.

Specimen Required

Patient Preparation

Multiple patient encounters should be avoided

Collect

Serum separator tube (SST). Multiple specimen tubes should be avoided. Include all available specimen.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.6 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.4 mL plus 0.04 mL for each allergen ordered)

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

Methodology

Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay

Performed

Sun-Sat

Reported

1-3 days

Reference Interval

Test Number
Components
Reference Interval
  Allergen, Food, Peanut IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Severe Peanut Ara h 1 Less than or equal to 0.09 kU/L
  Allergen, Food, Severe Peanut Ara h 2 Less than or equal to 0.09 kU/L
  Allergen, Food, Severe Peanut Ara h 3 Less than or equal to 0.09 kU/L
  Allergen, Food, Severe Peanut Ara h 9 Less than or equal to 0.09 kU/L
  Allergen, Food, Mild Peanut Ara h 8 Less than or equal to 0.09 kU/L
  Allergen, Food, Severe Peanut Ara h 6 Less than or equal to 0.09 kU/L

Interpretive Data

Allergen results of 0.10-0.34 kU/L for whole peanut 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.


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

Compliance Category

FDA

Note

Test methodology uses solid-phase immunoassays against the whole peanut allergen (f13) and 6 antigenic epitopes (Ara h1, Ara h2, Ara h3, Ara h6, Ara h8, and Ara h9) and measures IgE antibody concentrations in patient serum or plasma. The binding of a specific IgE to an immobilized allergen component is detected by the addition of a secondary fluorescence-labeled anti-human IgE antibody.

Hotline History

N/A

CPT Codes

86003; 86008 x6

Components

Component Test Code* Component Chart Name LOINC
0055024 Allergen, Food, Peanut IgE 6206-7
2010810 Allergen, Food, Severe Peanut Ara h 1 58779-0
2010811 Allergen, Food, Severe Peanut Ara h 2 58778-2
2010812 Allergen, Food, Severe Peanut Ara h 3 58777-4
2010813 Allergen, Food, Severe Peanut Ara h 9 64965-7
2010814 Allergen, Food, Mild Peanut Ara h 8 63477-4
2010815 EER Allergen, Peanut Components 11526-1
2010879 Allergen, Food, Peanut Components Interp 48767-8
3002252 Allergen, Food, Severe Peanut Ara h 6 90880-6
* 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

  • Peanut Component Package
  • Peanut molecular allergy
  • Peanut Test
  • uKnow Peanut
Allergen, Food, Peanut Components IgE