Last Modified: 6/10/2019 1:57:42 PM

  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Serum from a SST Gold Top Tube
Collection Instructions:  
Transport & Storage: Temperature/Stability: 4 weeks Ambient
4 weeks Refrigerated
> 4 weeks Frozen
Rejection Criteria: Lipemic
Reference Range:
Class IgE (kU/L) Comment
0 <0.1 Below Detection
0/1 0.1 -0.34 Equivocal/Borderline
1 0.35 - 0.69 Low Positive
2 0.7 - 3.4 Moderate Positive
3 3.5 - 17.4 Positive
4 >17.4 Strong Positive
Critical Ranges:  
Test Comments:  
Methodology: ImmunoCAP® FEIA
Clinical Significance: This assay is used to detect allergen specific-IgE using the ImmunoCAP® FEIA method. In vitro allergy testing is the primary testing mode for allergy diagnosis
Custom Panel: No


Sites Performed: Eurofins (Previously Viracor)
PHL Test Code: AG215
EPIC Test Code: IMO2071
Send Out Test Code: 184110E
Alternate Test Names: Carmine Dye; Carmine/Red Dye-Cochineal (Dactylopius coccus) IgE; Cochineal extract; Dactylopius coccus; f340; Red Dye #4; Red Dye-Cochineal IgE
Included Tests:  
CPT Coding: 86003

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