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Alder, grey, IgE-994

Test info

Test name:

Alder, grey, IgE

Test number:

994

Excellian order number:

LAB994

Abbreviation:

MSO

Alternate names:

Allergen
Smooth Alder

Useful for:

Detect possible allergic responses to various substances in the environment such as animals, antibiotics, foods, grasses, house dust, mites, insects, insulin, molds, smuts, trees, and weeds; evaluate hay fever, asthma, atopic eczema, and respiratory allergy.

Specimen

Specimen type:

Serum

Collection container:

Gold serum separator (SST) tube

Volume:

0.2 mL

Minimum volume:

0.1 mL

Collection instructions:

Immediatley following collection, mix sample by gently inverting 5 times

Processing instructions:

Allow sample to clot for a minimum of 30 minutes
Spin

Transport container:

Serum separator (Gold SST) tube

Alternate collection container:

Red serum vial/tube, 5 mL

Alternate processing instructions:

Allow sample to clot
Spin
Transfer serum to a Transfer vial/tube with cap - 12mL (LabCorp) labelled as "serum"

Alternate transport container:

Transfer vial/tube with cap - 12mL (LabCorp)

Transport and stability:

Ambient (preferred) - 14 days

Refrigerated - 14 days

Frozen - 3 months

Reason for rejection:

Lipemic samples may lead to rejection

Performance

Performing lab:

LabCorp Burlington (602545): R-NX

Days set up:

Daily

TAT:

3 - 4 days

Method:

ImmunoCap

Clinical and Interpretive info

Reference ranges:

Level of Specific IgE	Class	Description of Class
< 0.10	0	Negative
0.10 - 0.31	0/I	Equivocal / Low
0.32 - 0.55	I	Low
0.56 - 1.40	II	Moderate
1.41 - 3.90	III	High
3.91 - 19.00	IV	Very High
19.01 -100.00	V	Very High
> 100.00	VI	Very High

Billing

CPT codes:

86003

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

Tracking

Date created:

01/28/2020

Revised date:

12/07/2023

Review date:

12/07/2023