Dust Allergen Panel

Last Modified: 7/19/2019 4:29:08 PM

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

3.0 mL Serum from a Red Top Tube in a Plastic Vial

Collection Instructions:  
Minimum Volume: 0.8 mL
Transport & Storage: Temperature/Stability: 7 days Ambient 
14 days Refrigerated 
1 month Frozen
Reference Range:
Specific                                                 Level of Allergen
IgE Class               kU/L                       Specific IGE Antibody
---------                    ------------                ---------------------
0                              <0.10                      Absent/Undetectable
0/1                          0.10 - 0.34             Very Low Level
1                              0.35 - 0.69             Low Level
2                              0.70 - 3.49             Moderate Level
3                              3.50 - 17.4             High Level
4                              17.5 - 49.9             Very High Level
5                              50 – 100                Very High Level
6                              >100                       Very High Level
The clinical relevance of allergen results of 0.10 - 0.34 kU/L are undetermined and intended for specialist use. Allergens denoted with a ** include results using one or more analyte specific reagents. In those cases, the test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
Critical Ranges:  
Test Comments:  
Methodology: Immunocap
Clinical Significance:  
Custom Panel: No


Days Performed: Sunday, Wednesday, Friday
Sites Performed: Quest - Valencia
PHL Test Code: DSPN1
EPIC Test Code: IMO114
Send Out Test Code: P6220AA
Alternate Test Names: Allergen, Dust Panel; Allergy Panel, Dust
Included Tests: Dermatophagoides farinae; Dermatophagoides pteronyssinus; German Cockroach; House dust Greer IgE; House dust Hollister-Stier Ige
CPT Coding: 86003 x 5

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