Childhood Allergy Panel

Last Modified: 8/12/2020 2:45:16 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: 3.0 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, ECLIA
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 3 to 5 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center, Quest - Chantilly
PHL Test Code: CHAP3
EPIC Test Code: IMO5295
Send Out Test Code: 902432
Alternate Test Names: Allergen Panel Childhood; Allergy Profile Childhood; Childhood Allergy Profile (Food/Environmental)
Included Tests: Alternaria alternata; Cat Dander; Cladosporium herbarum; Cockroach; Cod Fish; Cow Milk; Dermatophagoides farinae (dust mite); Dermatophagoides pteronyssinus (dust mite); Dog Dander; Egg White;  IgE, Total; Peanut; Shrimp; Soybean; Walnut; Wheat
CPT Coding: 86003 x 15, 82785

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