Intermountain West Allergy Profile

Test Code
INTMTN


CPT Codes
86003 x17, 82785

Includes
ALLERGENS INCLUDED: Alder, A. tenuis, A. fumigates, Bermuda Grass,
Birch, Cat Dander, C. herbarum, Cockroach, Common Pigweed,
Cottonwood, D. farina, Dog Dander, Maple, Mugwort, Olive Tree, Redtop
Grass, Russian Thistle, White Mulberry, and Immunoglobulin E.


Preferred Specimen
8.0 mL of whole blood (4.0 mL of serum)


Minimum Volume
4.0 mL of whole blood (2.0 mL of serum)


Transport Container
No Additive Red top or Serum Separator (gold top)


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 Days
Refrigerated: 14 Days
Frozen: 30 Days


Methodology
Immunocap

Setup Schedule


Set up: 6 days a week a.m




Report Available
 Report available: 2 to 3 days


Performing Laboratory
Viracor IBT Laboratories



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.