Amoxicillin/Amoxicilloyl IgE, Allergen

Last Modified: 1/15/2020 3:20:31 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 0.5 mL Serum from a SST Gold Top Tube
Collection Instructions:  
Minimum Volume: 0.15 mL Serum
Transport & Storage: Temperature/Stability:

7 days Ambient (Transport)
14 days Refrigerated
30 days Frozen
Reference Range:

Class 0 - Below Detection: < 0.35 kUL
Class 1 - Low: IgE 0.35 - 0.69 kU/L
Class 2 - Moderate: IgE 0.70 - 3.49 kU/L
Class 3 - High: IgE 3.50 - 17.49 kU/L
Class 4 - Very High: IgE 17.50 - 49 kU/L
Class 5 - Very High: IgE 5.0 - 99
Class 6 - Very High: IgE > = 100
Critical Ranges:  
Test Comments:  
Methodology: Immunoassay
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 4 to 5 days
Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Chantilly
PHL Test Code: AG145
EPIC Test Code: IMO155
Send Out Test Code: 38476
Alternate Test Names: AGAX; Allergen, Amoxicillin IgE ; Allergen, Amoxicilloyl IgE; C6
Included Tests: Amoxicillin IgE, Allergen; Amoxicilloyl IgE, Allergen
CPT Coding: 86003

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