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Test Code PR147 Food Allergen Panel

Important Note

NAH Outreach Interface Order

Specimen Type

Serum

Result Information

Result
Code

Result
Name

ALFA

Alpha-Lactoalbumin
IgE

BLAC

Beta-Lactoglobulin
IgE

BLW

Walnut-Food IgE

CASE

Casein IgE

COD

Codfish IgE

CORN

Corn-Food IgE

EGG

Egg White IgE

GRFR

Grapefruit IgE

LEM

Lemon IgE

LIME

Lime IgE

ORNG

Orange IgE

PEAN

Peanut IgE

SHRI

Shrimp IgE

SOY

Soybean IgE

STBY

Strawberry IgE

WHEY

Whey IgE

WHT

Wheat IgE

YOLK

Egg Yolk IgE

Specimen Required

Container/Tube:

Preferred: Red top

Acceptable: Serum gel

Specimen Volume: 1.5 mL

Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 14 days
  Frozen  90 days

Reject Due To

Hemolysis

Mild OK; Gross OK

Lipemia

Mild OK; Gross OK

Icterus

NA

Other

NA

Reference Values

Class

IgE kU/L

Interpretation

0

<0.10

Negative

0/1

0.10-0.34

Borderline / Equivocal

1

0.35-0.69

Equivocal

2

0.70-3.49

Positive

3

3.50-17.4

Positive

4

17.5-49.9

Strongly positive

5

50.0-99.9

Strongly positive

6

≥100

Strongly positive

Reference values apply to all ages.

Performing Laboratory

Mayo Clinic Laboratories in Rochester    

  

Test Classification

This test has been cleared or approved by the U.S. Food and Drug
Administration and is used per manufacturer’s instructions.
Performance characteristics were verified by Mayo Clinic in a
manner consistent with CLIA requirements.

CPT Code Information

86003 (x18)