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).

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP standard transport tube. (Min: 0.6 mL). For multiple allergen orders refer to "Allergen Specimen Collection Instructions" at www.aruplab.com/testing/resources/specimen.

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Postmortem sample

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, Walnut (Juglans spp) IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Chestnut IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Pistachio IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Macadamia Nut IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Hazelnut IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Pecan IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Cashew IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Brazil Nut IgE Less than or equal to 0.34 kU/L
  Allergen, Food, Almond IgE Less than or equal to 0.34 kU/L

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.


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

Hotline History

N/A

CPT Codes

86003 x9

Components

Component Test Code* Component Chart Name LOINC
0055209 Allergen, Food, Walnut (Juglans spp) IgE 6273-7
0055254 Allergen, Food, Chestnut IgE 6259-6
0055447 Allergen, Food, Pistachio IgE 7613-3
0093245 Allergen, Food, Macadamia Nut IgE 11183-1
0098617 Allergen, Food, Hazelnut IgE 6136-6
0099572 Allergen, Food, Pecan IgE 6208-3
0099573 Allergen, Food, Cashew IgE 6718-1
0099574 Allergen, Food, Brazil Nut IgE 6050-9
0099577 Allergen, Food, Almond IgE 6019-4
* 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, Food, Tree Nuts Profile IgE