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Respiratory Allergy Panel Region VIII with Reflexes: IA, IL, MO

Test code

10649

CPT code(s)*

82785, 86003 (x26)
Notices
**CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide Service Area Information to find available tests you can order.
In-home collection may be available in your area for purchase through  Quest Mobile.

Clinical significance

Respiratory Allergy Panel Region VIII with Reflexes: IA, IL, MO - Up to 90 percent of children and 60 percent of adults with asthma have underlying allergies that trigger their asthma [1,2]. Commonly, these allergies are to trees, grasses, molds, and animals. Allergy respiratory IgE blood tests aid in the diagnosis of allergic diseases such as asthma, allergic rhinitis, conjunctivitis, atopic dermatitis, and urticaria. In this panel, when whole allergen dog/cat protein extract is found to be positive, the dog and/or cat dander component panel, which uses individual recombinant proteins from dogs and cats, is automatically run since this improves specificity compared to animal extract…
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Test resources

Topic brief

Component Testing for Furry Pet Allergies

Details

Test details

Includes

IgE allergy testing for:
Alternaria alternata (a mold) (m6)
Aspergillus fumigatus (m3)
Bermuda grass (Cynodon dactylon) (g2)
Cat Dander (e1) IgE with Reflex to Component Panel
Cladosporium herbarum (Hormodendrum) (m2)
Cockroach (i6)
Common Ragweed (short) (w1)
Cottonwood (Populous deltoides) (t14)
Dermatophagoides farinae (d2)
Dermatophagoides pteronyssinus (d1)
Dog Dander (e5) IgE with Reflex to Component Panel
Elm (t8)
Maple (box elder) (t1)
Maple leaf sycamore, London Plane (t11)
Mountain cedar (Juniperus sabinoides) (t6)
Mouse Urine Proteins (e72)
Mulberry (t70)
Oak (t7)
Pecan/Hickory (Carya soecue, pecan) (t22)
Penicillium notatum (m1)
Rough marsh elder (Iva) (w16)
Rough pigweed (Amaranthus retroflexus) (w14)
Russian thistle (Saltwort, Salsola kali) (w11)
Timothy grass (Phleum pratense) (g6)
Walnut (Juglans californica) (t10)
White ash (Fraxinus americana) (t15)

Immunoglobulin E

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 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.

Methodology

Immunoassay (IA)

Alternative name(s)

RAST,ImmunoCAP®,AUTOCAP

Specimen requirements
Patient preparationNone Specified
Preferred specimen(s)4.5 mL serum
Minimum volume2.5 mL
Transport containerSerum separator tube (SST)
Transport temperatureRoom temperature
Specimen stabilityRoom temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days
Service Area Information
Service Area Information
Service Area Information

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

*The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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