Allergen Profile Plus, IgE (Pediatric) With Component Reflexes

CPT: 82785; 86003(x16). If reflex testing is performed, concomitant CPT codes/charges will apply.
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Test Details

Test Includes

Alternaria alternata; cat dander; Cladosporium herbarum; cockroach, German; codfish; dog dander; Dermatophagoides farinae; Dermatophagoides pteronyssinus; egg white; immunoglobulin E, total; milk; mouse urine; peanut; shrimp; soybean; walnut; wheat; Reflex criteria: If milk IgE ≥0.35 kU/L, α-lactalbumin, β-lactoglobulin, and casein will be performed; if egg white IgE ≥0.35 kU/L, ovalbumin IgE and ovomucoid IgE will be performed; if peanut (whole) IgE ≥0.10 kU/L, Ara h 1, Ara h 2, Ara h 3, Ara h 8, and Ara h 9 will be performed.

Methodology

Electrochemiluminescence immunoassay (ECLIA); Thermo Fisher ImmunoCAP®

Specimen Requirements

Specimen

Serum

Volume

3 mL

Minimum Volume

1.5 mL

Container

Red-top tube or gel-barrier tube

Storage Instructions

Room temperature

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
603858 IgE+Pediatric w/Component Rflx 602444 Class Description N/A
603858 IgE+Pediatric w/Component Rflx 002173 Immunoglobulin E, Total IU/mL 19113-0
603858 IgE+Pediatric w/Component Rflx 602452 F001-IgE Egg White kU/L 6106-9
603858 IgE+Pediatric w/Component Rflx 602453 F002-IgE Milk kU/L 7258-7
603858 IgE+Pediatric w/Component Rflx 602451 F013-IgE Peanut kU/L 6206-7
603858 IgE+Pediatric w/Component Rflx 602467 D001-IgE D pteronyssinus kU/L 6096-2
603858 IgE+Pediatric w/Component Rflx 602475 D002-IgE D farinae kU/L 6095-4
603858 IgE+Pediatric w/Component Rflx 602454 E001-IgE Cat Dander kU/L 6833-8
603858 IgE+Pediatric w/Component Rflx 602456 E005-IgE Dog Dander kU/L 6098-8
603858 IgE+Pediatric w/Component Rflx 602465 F003-IgE Codfish kU/L 6082-2
603858 IgE+Pediatric w/Component Rflx 602459 F004-IgE Wheat kU/L 6276-0
603858 IgE+Pediatric w/Component Rflx 602457 F014-IgE Soybean kU/L 6248-9
603858 IgE+Pediatric w/Component Rflx 602473 F024-IgE Shrimp kU/L 6246-3
603858 IgE+Pediatric w/Component Rflx 602530 F256-IgE Walnut kU/L 6273-7
603858 IgE+Pediatric w/Component Rflx 602488 I006-IgE Cockroach, German kU/L 6078-0
603858 IgE+Pediatric w/Component Rflx 602462 M002-IgE Cladosporium herbarum kU/L 6075-6
603858 IgE+Pediatric w/Component Rflx 602455 M006-IgE Alternaria alternata kU/L 6020-2
603858 IgE+Pediatric w/Component Rflx 602689 E072-IgE Mouse Urine kU/L 6181-2
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603851 Panel 603851 602791 F232-IgE Ovalbumin kU/L 7556-4
Reflex 2 000000 602444 000000 N/A
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603851 Panel 603851 602792 F233-IgE Ovomucoid kU/L 7557-2
Reflex 2 000000 602444 000000 N/A
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603851 Panel 603851 603850 Reflex Allergy Tracking N/A
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603851 Panel 603851 602791 F232-IgE Ovalbumin kU/L 7556-4
Reflex 2 000000 602444 000000 N/A
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603851 Panel 603851 602792 F233-IgE Ovomucoid kU/L 7557-2
Reflex 2 000000 602444 000000 N/A
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603851 Panel 603851 603850 Reflex Allergy Tracking N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602731 F076-IgE Alpha Lactalbumin kU/L 7445-0
Reflex 2 000000 602444 000000 N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602505 F077-IgE Beta Lactoglobulin kU/L 17042-3
Reflex 2 000000 602444 000000 N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602554 F078-IgE Casein kU/L 6062-4
Reflex 2 000000 602444 000000 N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 603850 Reflex Allergy Tracking N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602731 F076-IgE Alpha Lactalbumin kU/L 7445-0
Reflex 2 000000 602444 000000 N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602505 F077-IgE Beta Lactoglobulin kU/L 17042-3
Reflex 2 000000 602444 000000 N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602554 F078-IgE Casein kU/L 6062-4
Reflex 2 000000 602444 000000 N/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 603850 Reflex Allergy Tracking N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603835 F422-IgE Ara h 1 kU/L 58779-0
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603836 F423-IgE Ara h 2 kU/L 58778-2
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603838 F424-IgE Ara h 3 kU/L 58777-4
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603839 F352-IgE Ara h 8 kU/L 63477-4
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603840 F427-IgE Ara h 9 kU/L 64965-7
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603850 Reflex Allergy Tracking N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603835 F422-IgE Ara h 1 kU/L 58779-0
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603836 F423-IgE Ara h 2 kU/L 58778-2
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603838 F424-IgE Ara h 3 kU/L 58777-4
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603839 F352-IgE Ara h 8 kU/L 63477-4
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603840 F427-IgE Ara h 9 kU/L 64965-7
Reflex 2 000000 602444 000000 N/A
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603847 Panel 603847 603850 Reflex Allergy Tracking N/A
Reflex Table for D001-IgE D pteronyssinus
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for D002-IgE D farinae
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for E001-IgE Cat Dander
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for E005-IgE Dog Dander
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for F003-IgE Codfish
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for F004-IgE Wheat
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for F014-IgE Soybean
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for F024-IgE Shrimp
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for F256-IgE Walnut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for I006-IgE Cockroach, German
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for M002-IgE Cladosporium herbarum
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for M006-IgE Alternaria alternata
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A
Reflex Table for E072-IgE Mouse Urine
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 602444 Class Description 602444 Class Description N/A

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