Ordering Recommendation
Mnemonic
CEHP R
Methodology

Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay/Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Performed

Mon, Wed, Fri

Reported

1-7 days

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

Serum Separator Tube (SST). Multiple specimen tubes should be avoided.

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 1 mL)

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Plasma. Contaminated, hemolyzed, or grossly lipemic specimens.

Remarks
Stability

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year

Reference Interval
Test Number
Components
Reference Interval
2002026 Celiac Disease Dual Antigen Screen with Reflex

Test Number
Components
Reference Interval
0051689 Celiac Disease Dual Antigen Screen Refer to report
0097709 Tissue Transglutaminase (tTG) Antibody, IgA Refer to report
0056009 Tissue Transglutaminase Antibody, IgG Refer to report
0051357 Deamidated Gliadin Peptide (DGP) Antibody, IgA Refer to report
0051359 Deamidated Gliadin Peptide (DGP) Antibody, IgG Refer to report

0055036 Allergen, Food, Codfish IgE 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

0055013 Allergen, Food, Egg White 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

0099569 Allergen, Food, Gluten 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

0098617 Allergen, Food, Hazelnut (Filbert) 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

0055020 Allergen, Food, Milk (Cow's) 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

0055024 Allergen, Food, Peanut 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

0099495 Allergen, Food, Scallop 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

0099698 Allergen, Food, Sesame Seed 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

0055030 Allergen, Food, Shrimp 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

0055031 Allergen, Food, Soybean 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

0055209 Allergen, Food, Walnut (Juglans spp.) IgE 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

0055034 Allergen, Food, Wheat 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

0097709 Tissue Transglutaminase (tTG) Antibody, IgA
3 U/mL or less Negative
4-10 U/mL Weak Positive
11 U/mL or greater Positive

0051357 Deamidated Gliadin Peptide (DGP) Antibody, IgA
19 Units or less Negative
20-30 Units Weak Positive
31 Units or greater Positive

0056009 Tissue Transglutaminase Antibody, IgG
5 U/mL or less Negative
6-9 U/mL Weak Positive
10 U/mL or greater Positive

0051359 Deamidated Gliadin Peptide (DGP) Antibody, IgG
19 Units or less Negative
20-30 Units Weak Positive
31 Units or greater Positive

Interpretive Data

Refer to individual components.

Compliance Category

FDA

Note

The Celiac Disease Dual Antigen Screen is a combined antibody assay for tissue transglutaminase and deamidated gliadin-derived peptide antibodies, IgA and IgG.

If Celiac Disease Dual Antigen Screen is 20 Units or greater, then tTG IgA and Gliadin Peptide IgA will be added. If tTG IgA and Gliadin Peptide IgA are negative, tTG IgG and Gliadin Peptide IgG will be added. Additional charges apply.

Hotline History
N/A
CPT Codes

86003 x12; 83516. If reflexed, add 83516 x2. If further reflexed, add 83516 x2.

Components
Component Test Code* Component Chart Name LOINC
0051691 Celiac Disease Dual Antigen Screen 63420-4
0055013 Allergen, Food, Egg White IgE 6106-9
0055020 Allergen, Food, Milk (Cow) IgE 7258-7
0055024 Allergen, Food, Peanut IgE 6206-7
0055030 Allergen, Food, Shrimp IgE 6246-3
0055031 Allergen, Food, Soybean IgE 6248-9
0055034 Allergen, Food, Wheat IgE 6276-0
0055036 Allergen, Food, Codfish IgE 6082-2
0055209 Allergen, Food, Walnut (Juglans spp) IgE 6273-7
0098617 Allergen, Food, Hazelnut IgE 6136-6
0099495 Allergen, Food, Scallop IgE 7691-9
0099569 Allergen, Food, Gluten IgE 6125-9
0099698 Allergen, Food, Sesame Seed IgE 6242-2
* 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
  • Recurrent Gastrointestinal Distress Profile
Chronic Enteric Hypersensitivity Reflexive Profile