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Allergen Profile, Food−Basic With Component Reflexes

CPT: 86003(x6). If reflex testing is performed, concomitant CPT codes/charges will apply.
Updated on 01/29/2020
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Test Includes

Codfish; egg white; milk; peanut; soybean; 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 6, Ara h 8, and Ara h 9 will be performed.


Expected Turnaround Time

3 - 5 days

3 - 4 days

3 - 5 days


Related Documents

For more information, please view the literature below.

Food Component Allergen Testing Services


    Specimen Requirements


    Specimen

    Serum


    Volume

    2 mL


    Minimum Volume

    1 mL


    Container

    Red-top tube or gel-barrier tube


    Storage Instructions

    Room temperature


    Test Details


    Methodology

    Thermo Fisher ImmunoCAP®


    LOINC® Map

    Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
    603857 IgE Food Basic w/Component Rfx 602444 Class Description N/A
    603857 IgE Food Basic w/Component Rfx 602452 F001-IgE Egg White kU/L 6106-9
    603857 IgE Food Basic w/Component Rfx 602453 F002-IgE Milk kU/L 7258-7
    603857 IgE Food Basic w/Component Rfx 602465 F003-IgE Codfish kU/L 6082-2
    603857 IgE Food Basic w/Component Rfx 602459 F004-IgE Wheat kU/L 6276-0
    603857 IgE Food Basic w/Component Rfx 602451 F013-IgE Peanut kU/L 6206-7
    603857 IgE Food Basic w/Component Rfx 602457 F014-IgE Soybean kU/L 6248-9
    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 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 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 603848 Panel 603848 602731 F076-IgE Alpha Lactalbumin kU/L 7445-0
    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 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 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 604845 Panel 604845 603835 F422-IgE Ara h 1 kU/L 58779-0
    Reflex Table for F013-IgE Peanut
    Order Code Order Name Result Code Result Name UofM Result LOINC
    Reflex 1 604845 Panel 604845 603836 F423-IgE Ara h 2 kU/L 58778-2
    Reflex Table for F013-IgE Peanut
    Order Code Order Name Result Code Result Name UofM Result LOINC
    Reflex 1 604845 Panel 604845 603838 F424-IgE Ara h 3 kU/L 58777-4
    Reflex Table for F013-IgE Peanut
    Order Code Order Name Result Code Result Name UofM Result LOINC
    Reflex 1 604845 Panel 604845 605970 F447-IgE Ara h 6 kU/L 90880-6
    Reflex Table for F013-IgE Peanut
    Order Code Order Name Result Code Result Name UofM Result LOINC
    Reflex 1 604845 Panel 604845 603839 F352-IgE Ara h 8 kU/L 63477-4
    Reflex Table for F013-IgE Peanut
    Order Code Order Name Result Code Result Name UofM Result LOINC
    Reflex 1 604845 Panel 604845 603840 F427-IgE Ara h 9 kU/L 64965-7
    Reflex Table for F013-IgE Peanut
    Order Code Order Name Result Code Result Name UofM Result LOINC
    Reflex 1 604845 Panel 604845 603850 Reflex Allergy Tracking N/A

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    CPT Statement/Profile Statement

    The LOINC® codes are copyright © 1994-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf