Tree nut allergen profile, IgE, with component reflex

Alphabetical Test listing

Tree nut allergen profile, IgE, with component reflex-994

Test name:

Test number:

994

Excellian order number:

LAB994

Abbreviation:

MSO

Alternate names:

Allergen

Tests included:

Almond
Brazil nut
Cashew nut
Hazelnut/filbert
Macadamia nut
Peanut (whole)
Pecan nut
Pistachio
Walnut

Reflex criteria:

If brazil nut, cashew nut, hazelnut/filbert, peanut (whole), and/or walnut IgE is ≥0.10 kU/L, brazil nut: Ber e 1/cashew nut: Ana o 3/hazelnut/filbert: Cor a 1, Cor a 8, Cor a 9, and Cor a 14/peanut (whole): Ara h 1, Ara h 2, Ara h 3, Ara h 6, Ara h 8, and Ara h 9/walnut: Jug r 1 and Jug r 3 will be performed.

Specimen type:

Serum

Collection container:

Gold serum separator (SST) tube

Volume:

3.0 mL

Minimum volume:

2.0 mL
Note: this volume does not allow for repeat testing

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 within two (2) hours of sample collection

Transport container:

Gold serum separator (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, within two (2) hours of sample collection

Alternate transport container:

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

Transport and stability:

Ambient (preferred) - 14 days

Refrigerated - 14 days

Frozen - 3 months

Performing lab:

LabCorp Burlington (604764): R-NX

TAT:

3 - 5 days

Method:

ImmunoCAP®

Reference ranges:

Negative: <0.1 kU/L

CPT codes:

86003 x 9

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

Date created:

06/03/2019

Revised date:

04/08/2022

Review date:

04/06/2022