Food Panel 2

Last Modified: 8/21/2023 3:17:26 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 4.0 mL Serum in a SST Gold Top Tube
Collection Instructions:  
Minimum Volume: 2.5 mL
Transport & Storage: Temperature/Stability: 7 days Ambient
7 days Refrigerated
30 days 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:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 3 to 5 days
Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Chantilly
PHL Test Code: FDP5
EPIC Test Code: IMO445
Send Out Test Code: 902317
Alternate Test Names: 12003; Adult Food Allergy Panel; Allergen Panel Food 2; Food Allergy Profile
Included Tests: Clam; Codfish; Corn; Egg White; IgE, Total; Milk; Peanut; Scallop; Sesame; Shrimp; Soybean; Walnut; Wheat
CPT Coding: 86003 x 12, 82785

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