Early Child Algy Pnl refl

Test Code

18739

CPT Codes
86003 (x11)

Includes

Almond (f20) IgE
Alternaria alternata (m6) IgE
Brazil Nut (f18) IgE with Reflex to Component
Cashew Nut (f202) IgE with Reflex to Component
Cat Dander (e1) IgE with Reflex to Component Panel
Cladosporium herbarum (m2) IgE
Cockroach (i6) IgE
Codfish (f3) IgE
Cow's Milk (f2) IgE with Reflex to Milk Component Panel
Dermatophagoides farinae (d2) IgE
Dermatophagoides pteronyssinus (d1) IgE
Dog Dander (e5) IgE with Reflex to Component Panel
Egg White (f1) IgE with Reflex to Egg Component Panel
Hazelnut (f17) IgE with Reflex to Component Panel
Macadamia Nut (rf345) IgE
Mouse Urine Proteins (e72) IgE
Peanut, Total with Reflex to Peanut Component Panel
Sesame Seed (f10) IgE
Shrimp (f24) IgE
Sesame Seed (f10) IgE with Reflex to Component
Soybean (f14) IgE with Reflex to Component Panel
Walnut (f256) IgE with Reflex to Component Panel
Wheat (f4) IgE with Reflex to Wheat Component Tri a 14 (f433) IgE

Immunoglobulin IgE

If Brazil Nut (f18) IgE is ≥0.10 kU/L, then Brazil Nut Component Ber e1 (f354) will be performed at an additional charge (CPT code(s): 86008).

If Cashew Nut (f202) IgE is ≥0.10 kU/L, then Cashew Nut Component Ana o3 (f443) will be performed at an additional charge (CPT code(s): 86008).

If Cat Dander (e1) IgE is ≥0.10 kU/L, then Cat Component Panel will be performed at an additional charge (CPT code(s): 86008 x4).
Cat Dander Component Panel includes Fel d 1 (e94) IgE, Fel d 2 (e220) IgE, Fel d 4 (e228) IgE, Fel d 7, and (e231) IgE.

If Cow's Milk (f2) IgE is ≥0.10 kU/L, then Milk Component Panel will be performed at an additional charge (CPT code(s): 86008 x3).
Milk Component Panel includes Alpha-lactalbumin (f76) IgE, Beta-lactoglobulin (f77) IgE, and Casein (f78) IgE.

If Dog Dander (e5) IgE is ≥0.10 kU/L, then Dog Component Panel will be performed at an additional charge (CPT code(s): 86008 x6).
Dog Dander Component Panel includes Can f 1 (e101) IgE, Can f 2 (e102) IgE, Can f 3 (e221) IgE, Can f 4 (e229) IgE, Can f 5 (e226) IgE, and Can f 6 (e230) IgE.

If Egg White (f1) IgE is ≥0.10 kU/L, then Egg Component Panel will be performed at an additional charge (CPT code(s): 86008 x2).
Egg Component Panel includes Ovalbumin (f232) IgE and Ovomucoid (f233) IgE.

If Hazelnut (f17) IgE is ≥0.10 kU/L, then Hazelnut Component Panel will be performed at an additional charge (CPT code(s): 86008 x4).
Hazelnut Component Panel includes Cor a1 (f428), Cor a8 (f425), Cor a9 (f440), and Cor a14 (f439).

If Peanut (f13) IgE is ≥0.10 kU/L, then Peanut Component Panel will be performed at an additional charge (CPT code(s): 86008 x6).
Peanut Component Panel includes Ara h 1 (f422), Ara h 2 (f423), Ara h 3 (f424), Ara h 6 (f447), Ara h 8 (f352), and Ara h 9 (f427).

If Sesame Seed (f10) IgE is ≥0.10 kU/L, then Sesame Component Ses i 1 (f449) IgE will be performed at an additional charge (CPT code(s): 86008).

If Soybean (f14) IgE is ≥0.10 kU/L, then Soybean Component Panel will be performed at an additional charge (CPT code(s): 86008 x3).
Soybean Component Panel includes Gly m 4 (f353) IgE, Gly m 5 (f431) IgE, and Gly m 6 (f432) IgE.

If Walnut (f256) IgE is ≥0.10 kU/L, then Walnut Component Panel will be performed at an additional charge (CPT code(s): 86008 x2).
Walnut Component Panel includes rJug r1(f441) and rJug r3 (f442).

If Wheat (f4) IgE is ≥0.10 kU/L, then Wheat Component Tri a 14 (f433) IgE will be performed at an additional charge (CPT code(s): 86008).

Methodology
Immunoassay (IA)

Reference Range

See Laboratory Report

Clinical Significance

This panel tests for specific IgE antibodies to 22 food and environmental allergens commonly associated with childhood allergies. A positive test result only indicates that a patient is sensitized to the allergen of concern. A diagnosis of allergy should only be made by a medical provider after conducting a clinical evaluation. In this panel, when a whole allergen extract is found to be positive, component testing (which uses individual recombinant or purified proteins) is automatically performed and reported. Component testing may help manage patients with suspected allergy.

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.