Milk Component Panel

Last Modified: 5/17/2019 3:57:55 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

1.0 mL Serum in a SST Gold Top Tube

Collection Instructions:  
Minimum Volume: 0.5 mL Serum
Transport & Storage: Temperature/Stability: 14 days Ambient (Transport)
14 days Refrigerated
30 days Frozen
Reference Range:
Alpha-Lactalbumin, IgE (f76): < .10 kU/L
Beta-Lactoglobulin, IgE (f77): < .10 kU/L
Casein, IgE (f78): < .10 kU/L
Critical Ranges:  
Test Comments:  
Methodology: Immunoassay (IA)
Clinical Significance: For use in the identification and severity of which specific milk protein a patient is allergic. This knowledge enables the clinician and the patient to make the correct treatment and lifestyle choices to mitigate exposure and reaction risk
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 1 to 3 days
Days Performed: Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Valencia
PHL Test Code: MILKP
EPIC Test Code: IMO2934
Send Out Test Code: 91403
Alternate Test Names: Allergen, Milk Components
Included Tests: Alpha-lactalbumin (f76) IgE, Beta-lactoglobulin (f77) IgE, Casein (f78) IgE
CPT Coding: 86008 x3

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