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Helminthosporium sativum/drecshlera IgE, Allergen

Last Modified: 8/16/2010 2:53:43 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation: Rast Testing: For acceptable narrative descriptions and ICD-9 information see Addendum C
Specimen Requirements: 1.0 mL Serum from a SST Red Top Yellow Ring Tube
Minimum Volume: 0.3 mL
Transport & Storage: Temperature/Stability:

4 weeks Ambient
4 weeks Refrigerated
1 year Frozen
Reference Range:
Class
IgE (ku/L)
Comment
0
< 0.10
Negative
0/1
0.1 – 0.34
Equivocal
1
0.35 – 0.69
Low Positive
2
0.7 – 3.4
Moderate Positive
3
3.5 – 17.4
Positive
4
> 17.5
Strong Positive
Methodology: Radioimmunoassay
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 4 to 7 days
Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed: Quest Valencia (SLI)
Other Testing Facility: to IBT
PHL Test Code: AG23
Send Out Test Code: S51944
Alternate Test Names: Allergen, Helminthosporium sativum/drecshlera IgE
CPT Coding: 86003

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