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Childhood and Tree Nut Allergy Panel with Reflex to Components

Test code

36766

CPT code(s)*

86003 (x21), 82785
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

Childhood and Tree Nut Allergy Panel with Reflex to Components - 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,…
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Test resources

Topic brief

Component Testing for Food Allergy
Component Testing for Furry Pet Allergies

Details

Test details

Includes

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

Methodology

Immunoassay (IA)

Alternative name(s)

Tree Nut Childhood Allergy,ImmunoCAP®

Specimen requirements
Patient preparationNone Specified
Preferred specimen(s)5 mL serum
Minimum volume3.5 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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