Sage IgE, Allergen

Last Modified: 3/30/2020 2:02:14 PM


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

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

Collection Instructions:  
Minimum Volume: 0.5 mL Serum
Transport & Storage: Temperature/Stability:

4 weeks Ambient
4 weeks Refrigerated
> 4 weeks Frozen

Ship refrigerated or Frozen

Rejection Criteria: Lipemic
Reference Range:

 

Specific                                                 Level of Allergen
IgE Class               kU/L                       Specific IGE Antibody
---------                    ------------                ---------------------
0                              <0.10                      Negative
0/1                          0.10 - 0.34              Equivocal/Borderline
1                              0.35 - 0.69             Low Positive
2                              0.70 - 3.49             Moderate Positive
3                              3.50 - 17.4             High Positive
4                              17.5 - 49.9             Very High Positive
5                              50 – 99.99             Very High Positive
6                              >99.99                    Very High Positive
 
Note that Viracor Eurofins includes an extra calibrator at 0.10 kU/L and uses it to
define an optional equivocal class.
Critical Ranges:  
Test Comments:  
Methodology: Immunocap
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 1 to 2 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
PHL Test Code: AG122
EPIC Test Code: IMO244
Send Out Test Code: 45010S
Alternate Test Names: Allergen, Sage IgE; F344; Garden Sage; Sage (Salvia officinalis) IgE; Salvia
Included Tests:  
CPT Coding: 86003

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