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Allergens, Food Allergy Panel w/ Reflex

Allergens, Food Allergy Panel, IgE, w/ Reflex to Allergen Component Tests
Alternate Test Name	ImmunoCAP® Food Allergy Profile
Epic Mnemonic Sunquest Mnemonic	LAB FOODAR
Category	Sendouts
Methodology	ImmunoCAP™ Fluorescent Enzyme Immunoassay (FEIA)
Test Performance Schedule	Monday, Tuesday, Thursday, Friday
Result Availability	24 – 72 hours

Specimen Required

Container	Preferred:Gold top (SST) or Red top (serum) tube Alternate:Green top (sodium heparin) or Lavender top (EDTA) tube
Volume	Pref. Vol.: 4.5 mL Min. Vol.: 2.5 mL
Collection Instructions	• Routine venipuncture •Immediatelyafter collection,gentlyinvert tube 5-10 times • Clot 30 minutes • Promptly centrifuge 15 minutes • Immediately transfer serum to a plastic tube and refrigerate within 2 hours of collection
Transportation Instructions	Refrigerated
Stability	• Room Temperature: 24 hours • Refrigerated: 1 week • Frozen: Greater than 1 week (avoid repeat freeze/thaw cycles)
Remarks	Test includes: • Egg White • Cow’s Milk • Cod Fish • Wheat • Corn (Maize) • Sesame Seed • Peanut • Soybean • Shrimp • Walnut (Nut) • Scallop If Milk (f2) is ≥0.35kU/L, then Alpha-lactalbumin (f76), Beta-lactoglobulin (f77), and Casein (f78) will be added. If Egg White (f1) is ≥0.35kU/L, then Ovomucoid (f233) and Ovalbumin (f232) will be added. If Peanut (f13) is ≥0.35kU/L, then Peanut Components Panel will be added.
CPT Codes	86003 x12
Effective/Revised	9/1/17

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