Respiratory Region V Standard Panel

Last Modified: 10/21/2020 9:41:39 AM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 5.0 mL Serum from two Red Top Tube(s) in a Plastic Vial
Collection Instructions:  
Minimum Volume: 2.5 mL Serum
Transport & Storage: Temperature/Stability: 14 days Ambient 
14 days Refrigerated 
30 days Frozen
Reference Range:
Refer to Interpretive Results
Critical Ranges:  
Test Comments:  
Methodology: Immunocap
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 1 to 2 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center, Quest - Chantilly
PHL Test Code: RESP4
EPIC Test Code: IMO444
Send Out Test Code: 10646
Alternate Test Names: 12004; Allergen, Respiratory Region V Standard; Allergy - Region V Respiratory Panel; Region V Respiratory Panel
Included Tests: Alternaria alternata (m6); Aspergillus fumigatus (m3); Bermuda grass (g2); Birch (t3); Cat dander (e1) ; Cladosporium herbarum (m2); Cockroach (i6); Common ragweed (short) (w1); Cottonwood (t14); Dermatophagoides farinae (d2); Dermatophagoides pteronyssinus (d1); Dog dander (e5); Elm (t8); Maple (box elder) (t1); Mountain Cedar (t6); Mouse Urine Proteins (e72); Oak (t7); Pecan/Hickory (t22); Penicillium notatum (m1); Rough pigweed (w14); Russian Thistle (w11); Sheep sorrel (w18); Sycamore (t11); Timothy grass (g6); Walnut tree (t10) ; White ash (t15); White mulberry (t70); Immunoglobulin E (IgE)

 
CPT Coding: 82785, 86003 x 27

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