Childhood Allergy (Food and Environmental) Panel with Reflexes
Test Code
91683
82785, 86003 (x16)
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Clinical Significance
Childhood Allergy (Food and Environmental) Panel with Reflexes - 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.
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Test Resources
Topic Brief
Component Testing for Food AllergyTopic Brief
Component Testing for Furry Animal AllergiesTest Details
IgE allergy testing for:
Alternaria alternata (m6)
Cat Dander (e1)
Cladosporium herbarum (m2)
Cockroach (i6)
Codfish (f3)
Cow's Milk (f2)
Dermatophagoides farinae (d2)
Dermatophagoides pteronyssinus (d1)
Dog Dander (e5)
Egg White (f1)
Mouse Urine Proteins (e72)
Peanut (f13)
Shrimp (f24)
Soybean (f14)
Walnut (f256)
Wheat (f4)
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 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 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).
Alternaria alternata (m6)
Cat Dander (e1)
Cladosporium herbarum (m2)
Cockroach (i6)
Codfish (f3)
Cow's Milk (f2)
Dermatophagoides farinae (d2)
Dermatophagoides pteronyssinus (d1)
Dog Dander (e5)
Egg White (f1)
Mouse Urine Proteins (e72)
Peanut (f13)
Shrimp (f24)
Soybean (f14)
Walnut (f256)
Wheat (f4)
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 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 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).
Methodology
Immunoassay (IA)
Reference Range(s)
See Laboratory Report
Alternative Name(s)
RAST, AUTOCAP, IMMUNOCAP
Preferred Specimen(s)
5 mL serum
Minimum Volume
4 mL
Transport Container
Serum separator tube (SST)
Transport Temperature
Room temperature
Specimen Stability
- Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days
Setup Schedule
5 mL serum
4 mL
Serum separator tube (SST)
Room temperature
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 30 days
Refrigerated: 14 days
Frozen: 30 days