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Alphabetical Index
Allergens, Pediatric Allergy Panel:(LAB002131) (8000101520)
Test Mnemonic:

Allergens, Pediatric Allergy Panel
Specimen Requirements:
Test Included:

Allergens contained in panel: Dust mite D. ferinae, Dust mite D. pteronyssinus, Cat Dander, Dog Dander, Mouse urine protein, Egg White, Peanut, Soybean, Milk, Shrimp, Walnut, Codfish, Wheat, German Cockroach, Cladosporium herbarum, Alternaria alternata, Total IgE.
Collection:

Routine venipuncture.  Serum (SST, Red Top, RST).
Minimum Volume:

5 mL
Storage/Transport:

Delivered to Sample Management within 2 hours of collection.
Stability:

Refrigerated for 7 days.  Frozen indefinite (avoid repeated freeze/thaw cycles).
Causes for Rejection:

Specimen quantity not sufficient, incomplete and/or incorrect sample identification, improper storage/transport, incorrect tube type.
Specimen Preparation:

Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells within 2 hours of collection.
Methodology:

Immunoflourescence
Performed:
Lab:

Special Chemistry
Turnaround Time:

48-72 Hours
Reference Range:
CPT 4 Code:

Special Chemistry
Patient Preparation :

None
Clinical Indication:

For use as an aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings.
Effective Date: 01/14/2021
Reviewed By/Date: -
Approved By/Date: Okorodudu, Anthony - 01/27/2021
When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient. Components of the organ or disease panels may be ordered individually. The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-10 code or its verbal equivalent.

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