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
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
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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