VISN 23 Resp Allergy Panel without cat-dog reflex

Test Code

382009

CPT Codes
86003 (x25)<br>Restricted Client Code

Includes

Dermatophagoides pteronyssinus (d1) IgE
Dermatophagoides farinae (d2) IgE
Cat Dander (e1) IgE
Dog Dander (e5) IgE
Mouse Urine Proteins (e72) IgE
Bermuda Grass (g2) IgE
Timothy Grass (g6) IgE
Cockroach (i6) IgE
Penicillium notatum (m1) IgE
Cladosporium herbarum (m2) IgE
Aspergillus fumigatus (m3) IgE
Alternaria alternata (m6) IgE
Maple (Box Elder) (t1) IgE
Birch (t3) IgE
Mountain Cedar (t6) IgE
Oak (t7) IgE
Elm (t8) IgE
Cottonwood (t14) IgE
White Ash (t15) IgE
White Mulberry (t70) IgE
Common Ragweed (Short) (w1) IgE
Russian Thistle (w11) IgE
Rough Marsh Elder (w16) IgE
Nettle (w20) IgE
Immunoglobulin E

Preferred Specimen

1.7 mL serum

Minimum Volume

1 mL

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days

Methodology
Immunoassay (IA)

Setup Schedule

Set up and Report available: See individual tests

Reference Range

See individual tests

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.