ALLERGY EVALUATION 4, GREAT LAKES REGION

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For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
ALEVGL


CPT Codes
86003 (x10)

Includes
Alternaria Alternata (ALALT), Cat Dander (CADA), Cladosporium herbarum (CLHER), Common Ragweed (CORA), Dermatophagoides farinae (DFARI), Dog Dander (DODA),  June Grass- Kentucky Blue (JUGR), Lamb's Quarters- Goosefoot (LAQU), Oak White (OAWH), Timothy Grass (TIMGR)


Preferred Specimen
1 full SST for ALEVGL, if additional allergens are ordered; additional serum will be required.


Instructions
SST or Red top: Avoid hemolysis. Invert a minimum of 5 times, then allow to clot in an upright position for 30 minutes. Centrifuge the tube for at least 10 minutes. Keep tightly stoppered.


Transport Container
SST (speckled top), Red top, Plastic Vial (transfer) tube


Transport Temperature
Refrigerated (preferred)


Specimen Stability
Room Temperature:  n/a
Refrigerated: 7 days
Frozen: at least 7 days


Methodology
Fluorenzyme Immunoassay (FEIA)

Setup Schedule
Monday – Friday BS


Report Available
1-3 days


Reference Range
Reference Range
Specific IgE Class kU/L Specific IgE Antibody
0 < 0.10 Absent/Undetectable
0/1 0.10 - 0.34 Very Low Level
1 0.35 - 0.70 Low Level
2 0.71 - 3.50 Moderate Level
3 3.51 - .17.5 High Level
4 17.6 - 50 Very High Level
5 51.0 - 100 Very High Level
6 > 100 Very High Level 


Clinical Significance
Detection of IgE antibodies specific to a particular allergen indicates hypersensitivity to that allergen.




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.