RLR VAMC Allergy Panel

Test Code

900946

CPT Codes
86003 (x31)<br>Restricted Client Code

Includes

2721X Dermatophagoides pteronyssinus (d1) IgE
2722X Dermatophagoides farinae (d2) IgE
2308X June Grass (Kentucky Blue) (g8) IgE
2309 Red Top Grass (g9) IgE
2712X House Dust (Hollister-Stier) (h2) IgE
2702X Cladosporium herbarum (m2) IgE
2703X Aspergillus fumigatus (m3) IgE
2706X Alternaria alternata (m6) IgE
2507X Oak (t7) IgE
2508X Elm (t8) IgE
2512X Willow (t12) IgE
2515X White Ash (t15) IgE
2503XBirch (t3) IgE
2511X Sycamore (t11) IgE
2303X Orchard Grass (Cocksfoot) (g3) IgE
2401X Common Ragweed (Short) (w1) IgE
2403X Giant Ragweed (Tall) (w3) IgE
2410X Lamb's Quaters (Goose Foot) (w10) IgE
2417X Firebush (w17) IgE
2411X Russian Thistle (w11) IgE
2414X Rough Pigweed (w14) IgE
2701X Penicillium notatum (m1) IgE
2601X Cat Dander (e1) IgE
2605X Dog Dander (e5) IgE
2306X Timothy Grass (g6) IgE
2661X Goose Feathers (e70) IgE
2651X Chicken Feathers (e85) IgE
2664X Duck Feathers (e86) IgE
2539X Turkey Feathers (e89) IgE
2736X Cockroach (i6) IgE
2510X Walnut Tree (t10) IgE

Preferred Specimen

5 mL serum

Transport Temperature

Room temperature

Specimen Stability

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

Methodology
Immunoassay

Setup Schedule

Set up: Mon-Sat; Report available: Next day

Reference Range

See Laboratory Report

Clinical Significance

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.