Childhood and Tree Nut Allergy Panel with Reflex to Components

Test Code
36766


CPT Codes
86003 (x21), 82785

Includes
IgE allergy testing for:
Almond (f20)
Alternaria alternata (m6)
Brazil Nut (f18)
Cashew Nut (f202)
Cat Dander (e1)
Cladosporium herbarum (m2)
Cockroach (i6)
Codfish (f3)
Cow's Milk (f2)
Dermatophagoides farinae (d2)
Dermatophagoides pteronyssinus (d1)
Dog Dander (e5)
Egg White (f1)
Hazelnut (f17)
Macadamia Nut (rf345)
Mouse Urine Proteins (e72)
Peanut (f13)
Shrimp (f24)
Soybean (f14)
Walnut (f256)
Wheat (f4)

Immunoglobulin E

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 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).


Preferred Specimen
5 mL serum collected in a serum separator tube (SST), received spun


Minimum Volume
3.5 mL


Transport Temperature
Room temperature


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


Methodology
Immunoassay (IA)

FDA Status
This 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. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Set up: Mon-Sat; Report available: 2-4 days


Reference Range
See Laboratory Report


Clinical Significance
Up to 90 percent of children with asthma have underlying allergies that trigger their asthma.1,2 Many things like environmental and food elements can trigger allergic reactions in children. Specific IgE serological tests aid in the diagnosis of allergic disease. In this profile, when a whole allergen protein extract is found to be positive, the respective component panel, which uses individual recombinant or purified proteins, is automatically run. Component panels improve specificity, provide the clinician with more detailed information for assessing level of risk, and help target effective management.

1. Allen-Ramey F, et al. J Am Board Fam Pract 2005;18(5):434-439.
2. Host A, Halken S. Allergy 2000;55:600-608.


Performing Laboratory
Quest Diagnostics Nichols Inst San Juan Capistrano 33608 Ortega Highway San Juan Capistrano, CA 92690-6130



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.