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Specimen Collection Manual and Test Catalog

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ALLERGY TEST

Geisinger Epic Procedure Code:     Geisinger Epic ID: 

SPECIMEN COLLECTION
Specimen type: 

Serum


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

0.3 mL aliquot of serum per allergen; minimum 0.15 mL.


Special notes: 

See reference information for complete list of allergens. Collection of more than one tube may be required. If drawing specimen into microcollection tubes, contact lab for calculation of number of microcollection tubes required based on number of allergens to be tested.



SPECIMEN PROCESSING
Processing instructions: 

Allow to clot. Centrifuge and submit 0.3 mL aliquot of serum per allergen.


Transport temperature: 

Refrigerated (preferred) or frozen.


Specimen stability: 

Stable seven (7) days at 2-8°C or six (6) months at -20°C.


Rejection criteria: 

Stability exceeded; lipemic, icteric, or hemolyzed specimen.



TEST DETAILS
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
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: 

Tests Performed at GMC

Orderable ProcedureEpic Test CodeSynonym
Allergen Acremonium Kiliense IgELAB3702M202
Allergen Almond IgELAB1553F20
Allergen Alternaria IgELAB1554M6
Allergen Apple IgELAB1556F49
Allergen Aspergillus IgELAB1557M3
Allergen Bakers Yeast IgELAB1558F45
Allergen Banana IgELAB1559F92
Allergen Beech IgELAB1560T5
Allergen Beef IgELAB1561F27
Allergen Bermuda Grass IgELAB1562G2
Allergen Birch IgELAB1563T3
Allergen Blue Mussel IgELAB1647F37
Allergen Box Elder Maple IgELAB1565T1
Allergen Brazil Nut IgELAB1566F18
Allergen Cacao IgELAB1569F93
Allergen Candida Albicans IgELAB1570M5
Allergen Carrot IgELAB1571F31
Allergen Cashew Nut IgELAB1573F202
Allergen Cat Dander IgELAB1574E1
Allergen Chicken Meat IgELAB1579F83
Allergen Cladosporium IgELAB1581M2
Allergen Clam IgELAB1582F207
Allergen Cocklebur IgELAB1583W13
Allergen Cockroach IgELAB1584I6
Allergen Coconut IgELAB1585F36
Allergen Codfish IgELAB1586F3
Allergen Common Ragweed IgELAB1589W1
Allergen Corn IgELAB1590F8
Allergen Cottonwood IgELAB1591T14
Allergen Crab IgELAB1593F23
Allergen Dog Dander IgELAB1597E5
Allergen Egg White IgELAB1601F1, yolk
Allergen Elm IgELAB1603T8
Allergen English Plantain IgELAB1604W9
Allergen F. Moniliforme IgELab3578M9
Allergen Gluten IgELAB1616F79
Allergen Guinea Pig Epithelium IgELAB1622E6
Allergen Hazelnut IgELAB1625F17
Allergen Helminthosporium IgELAB1627M8
Allergen Honeybee Venom IgELAB1628I1
Allergen Horse Dander IgELAB1629E3
Allergen June Grass IgELAB1633G8
Allergen Kiwi Fruit IgELAB1634F84
Allergen Lamb's Quarter IgELAB1635W10
Allergen Latex IgELAB1636K82
Allergen Lobster IgELAB1640F80
Allergen Macadamia Nut IgELAB3560RF345
Allergen Milk IgELAB1643F2, Casein
Allergen Mite-Farinae IgELAB1644D2
Allergen Mite-Pteronyssiunus IgELAB1645D1
Allergen Mucor Racemosus IgELAB1648M4
Allergen Mugwort IgELAB1649W6
Allergen Oak IgELAB1653T7
Allergen Oat IgELAB1654F7
Allergen Orange IgELAB1656F33
Allergen Orchard Grass IgELAB1657G3
Allergen Oyster IgELAB1658F290
Allergen Paper Wasp Venom IgELAB1659I4
Allergen Peach IgELAB1660F95
Allergen Peanut IgELAB1661F13
Allergen Pecan Hickory IgELAB1662T22, Shagbark
Allergen Pecan Nut IgELAB1663F201
Allergen Penicillium Notatum IgELAB1665M1
Allergen Pigweed IgELAB1666W14
Allergen Pineapple IgELAB1667F210
Allergen Pistachio IgELAB1668F203
Allergen Pullularia IgELAB1670M12
Allergen Rabbit Epithelium IgELAB1671E82
Allergen Red Cedar IgELAB3559RT57
Allergen Rhizopus Nigricans IgELAB3695M11
Allergen S. Botryosum IgELAB3753M10
Allergen Salmon IgELAB1675F41
Allergen Scallop IgELAB1676F338
Allergen Sesame Seed IgELAB1678F10
Allergen Sheep Sorrel IgELAB1679W18
Allergen Shrimp IgELAB1681F24
Allergen Soybean IgELAB1682F14
Allergen Strawberry IgELAB1684F44
Allergen Sunflower Seed IgELAB1685K84
Allergen Sycamore IgELAB1687T11
Allergen Timothy Grass IgELAB1688G6
Allergen Tomato IgELAB1689F25
Allergen Tuna IgELAB1691F40
Allergen Venom IgE Profile with Reflex ComponentLAB5030 
Allergen Walnut IgELAB1694F256
Allergen Walnut Tree IgELAB1695T10
Allergen Wheat IgELAB1699F4
Allergen White Ash IgELAB1700T15
Allergen White Hornet Venom IgELAB1702I2
Allergen White Potato IgELAB1703F35
Allergen Yellow Hornet Venom IgELAB1705I5
Allergen Yellow Jacket Venom IgELAB1706I3
Galactose-alpha-1,3-galactose (Alpha-Gal) IgELAB1175Alpha-Gal

Tests performed at Quest

Orderable ProcedureEpic Test Code
Alder (T2) IgELAB3765
Alpha-Lactalbumin (F76) IgELAB3699
Amoxicillin (C6)LAB3747
Apricot (F237) IgELAB3694
Artichoke IgELAB1361
Asparagus (Rf261) IgELAB3762
Avocado (F96) IgELAB3564
Bahia Grass (G17) IgELAB3761
Barley (F6) IgELAB3581
Basil (Rf269) IgELAB3553
Bay Leaf (Larus Nobilis) IgELAB3692
Bean Black (Phaseolus Spp) IgE*LAB1172
Beetroot (Beta Vulgaris) (F319)IgELAB3757
Beta-Lactoglobulin (F77) IgELAB3700
Black Pepper (F280) IgELAB1564
Blackberry(F211) IgELAB3691
Blueberry (Rf288) IgELAB3569
Buckwheat (F11) IgELAB3705
Carmine/Red Dye Cochineal Extract (F340) IgELAB3557
Cauliflower(Rf291) IgELAB3752
Celery (F85) IgELAB1575
Cherry (F242) IgELAB1577
Chick Pea (F309) IgELAB1155
Chicken Feathers (E85) IgELAB1578
Cinnamon (Rf220) IgELAB3575
Cockatiel Feathers IgELAB1255
Coriander/Cilantro (F317) IgELAB3688
Cranberry(Rf341) IgELAB3751
Cucumber (F244) IgELAB3703
Curry (Rf281) IgELAB3555
Dandelion (W8) IgELAB1596
Dill (Rf277) IgELAB3552
Duck Feathers (E86) IgELAB1599
Eggplant, IgELAB3742
Epicoccum Purpurascens (M14) IgELAB1156
False Ragweed (W4) IgELAB3698
Flaxseed/Linseed IgELAB3690
Garlic (F47) IgELAB1606
Gelatin Bovine(C74) IgELAB3759
Gelatin Porcine IgELAB3764
Ginger (F270) IgELAB3562
Goose Feathers (E70) IgELAB1618
Grape (F259) IgELAB1619
Grapefruit (F209) IgELAB3696
Green Bean (F315) IgELAB3583
Gulf Flounder (Rf147) IgELAB3568
Gum Xantham IgELAB3580
Haddock, IgELAB1623
Halibut (Rf303) IgE    LAB3768
Hamster Epithelium (E84) IgELAB1624
Hazel Nut Tree (T4) IgELAB1626
Horseradish (Armoracia Rusticana/A. Lapathifolia) IgELAB1301
Japanese Cedar (T17) IgE    LAB3770
Lentils (F235) IgELAB3574
Lime(Rf306) IgELAB3745
Mango (F91) IgELAB3707
Mint (Mentha Piperita) (F332) IgELAB3704
Mosquito (I71) IgELAB3554
Mountain Cedar (T6) IgELAB1274
Mushroom (Rf212) IgELAB3706
Octopus (F59) IgELAB1275
Onion (F48) IgELAB1655
Oregano (Rf283) IgELAB3551
Ovalbumin (F232) IgELAB1278
Ovomucoid (F233) IgELAB1192
Paprika/Sweet Pepper(F218) IgELAB3582
Parsley (F86) IgELAB3686
Passion Fruit (Rf294) IgELAB1279
Pea (F12) IgELAB1621
Pear (F94) IgELAB3573
Pepper Cayenne IgELAB3570
Perch Ocean IgE     LAB3769
Pine (Rt213) IgELAB1286
Pine Nut (Rf253) IgELAB3550
Plum (F255) IgELAB1669
Poplar White (Populus Alba) IgELAB1025
Poppy Seed (Rf224) IgELAB3680
Pork (F26) IgELAB3579
Pumpkin (F225) IgELAB1150
Pumpkin Seed (F226) IgELAB3681
Quinoa (F374) IgELAB3683
Rape Seed (RF316) IgELAB3682
Raspberry (Rf343) IgELAB3561
Red Kidney Bean (Rf287) IgELAB3523
Rice (F9) IgELAB1672
Rough Marsh Elder (W16) IgE  LAB3766
Russian Thistle (W11) IgELAB3758
Squash Summer,IgELAB3743
Squid (Rf258) IgELAB1189
Sugar Cane IgELAB3754
Sweet Gum (Rt211) IgELAB3572
Sweet Vernal Grass (G1) IgELAB3571
Swordfish (Rf312) IgELAB3746
Tarragon(F272) IgELAB3687
Tea (Rf222) IgELAB3563
Thyme (Rf273)  IgELAB3685
Tilapia IgELAB1213
Trout (F204) IgELAB3697
Turmeric (Curcuma Long) IgELAB3689
Vanilla (Rf234) IgELAB3760
Venison IgELAB3763
Watermelon (RF329) IgELAB1696
Whey, RastLAB3566
White Mulberry (T70) IgELAB3756
White Pine(T16) IgELAB3750
Yellow Dock Weed (Rw23) IgELAB4287
Zucchini IgELAB3679

Methodology: 
Enzyme Immunoassay (EIA)
Synonyms: 

RAST, Allergen testing, Allergy , specific IgE


Clinical significance: 

Many allergies are mediated by immunoglobulins of the IgE class. In vitro allergen-specific IgE tests can help the physician identify the allergen (or allergens) to which an individual is sensitive.


Doctoral Director(s): 
Benjamin Andress, PhD, DABCC
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Review Date:  12/24/2024

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