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Specimen Collection Manual and Test Catalog

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ALLERGEN PEANUT WITH REFLEX COMPONENT

Geisinger Epic Procedure Code:  LAB4354    Geisinger Epic ID:  180311

SPECIMEN COLLECTION
Specimen type: 

Serum


Preferred collection container: 
Alternate collection container: 
6 mL red-top (plain, non-serum separator) tube
Specimen required: 

One (1) full 3.5 mL gold-top serum separator tube. Aliquot acceptable with 0.7mL serum.



SPECIMEN PROCESSING
Processing instructions: 

Allow to clot. Centrifuge and submit one (1) full 3.5 mL gold-top serum separator tube.


Transport temperature: 

Refrigerated.


Specimen stability: 

Refrigerated (2-8°C): Seven (7) days. Frozen (-20°C): Six (6) months.


Rejection criteria: 

Specimen will be rejected if stability limit has been exceeded or if specimen is hemolyzed, lipemic or icteric.



TEST DETAILS
Reference interval: 

Negative/Class 0


Interpretation guide: 

<0.10 kUa/L - Class 0 Allergen: Absence of Allergen Specific IgE 
0.10-0.34 kUa/L - Class 0/1 Allergen: Low Level of Allergen Specific IgE 
0.35-0.69 kUa/L - Class 1 Allergen: Low Level of Allergen Specific IgE
0.70-3.49 kUa/L - Class 2 Allergen: Moderate Level of Allergen Specific IgE
3.50-17.49 kUa/L - Class 3 Allergen: High Level of Allergen Specific IgE
17.5-49.99 kUa/L - Class 4 Allergen: Very High Level of Allergen Specific IgE
50.0-99.99 kUa/L - Class 5 Allergen: Very High Level of Allergen Specific IgE
>=100 kUa/L - Class 6 Allergen: Very High Level of Allergen Specific IgE


Additional information: 
CPT code(s):  86003 x7
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Peanut (f13) LAB1661. If Peanut IgE is positive, reflexes to Peanut component panel (LAB3209) sent to Quest reference laboratory.


Methodology: 
Enzyme Immunoassay (EIA)
Synonyms: 

Peanut component, Allergy


Clinical significance: 

The Peanut Allergen Test helps to assess a patient's level of risk of an allergic reaction, and may reassure patients when the risk for allergic symptoms is low or when they will most likely experience mild or localized reactions upon exposure to peanut. The test helps the health care provider identify primary, species-specific allergic sensitization, differentiate between symptoms caused by a primary allergen source and those caused by cross-reactivity, assess the level of risk for life-threatening allergic reactions, and provide clarity regarding the patient's risk of an allergic reaction to ease fears and help target effective management.


Doctoral Director(s): 
Benjamin Andress, PhD, DABCC
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Review Date:  12/10/2024

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