ImmunoCAP Allergy Pro les - Quest Diagnostics · Olive (Olea europa), t9 ... f17 + Milk, f2 ......

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ImmunoCAP ® Allergy Profiles Fact Sheet Respiratory Allergy Profile Food Allergy Profile Allergens Indicated by Cap Codes d: dust mites (house) e: epidermal f: food g: grass i: insect m: mold t: tree w: weed *Any profile component listed can be ordered individually. The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed. Region XIII: Southern Coastal, CA Test Code: 10655 Specimen Requirements: 2 mL serum, room temperature CPT Codes*: 86003 x 25 Specific IgE; 82785 Total IgE Test Code: 91682 Specimen Requirements: 2 mL serum, room temperature CPT Codes*: 86003 x 15 Specific IgE Alder (Alpus incana), t2 Alternaria alternata, m6 Aspergillus fumigatus, m3 Bermuda grass (Cynodon dactylon), g2 Cat dander, e1 Cladosporium herbarum, m2 Cockroach, i6 Common ragweed (Short; Ambrosia elatior), w1 Cottonwood (Populus deltoides), t14 D. farinae, d2 D. pteronyssinus, d1 Dog dander, e5 Elm (Ulmus americana), t8 Johnson grass (Sorghum halepense), g10 Mountain cedar (Juniperus sabinoides), t6 Mouse urine, e72 Mugwort (Safebrush; Artemisia vulgaris), w6 Oak (Quercus alba), t7 Olive (Olea europa), t9 Penicillium notatum, m1 Rough pigweed (Amaranthus retroflexus), w14 Russian thistle (Saltwort, Salsola kali), w11 Timothy grass (Phleum pratense), g6 Walnut (Juglans californica), t10 White mulberry, t70 Total IgE Food Allergy Profile with Reflexes Respiratory Allergy Profile Almond, f20 Cashew, f202 Cod fish, f3 Egg white, f1 + Hazelnut, f17 Milk, f2 + Peanut, f13 + Salmon, f41 Scallop, f338 Sesame, f10 Shrimp, f24 Soybean, f14 Tuna, f40 Walnut, f256 Wheat, f4 + Indicates allergens that will be reflexed if test results are positive. Any profile component listed can be ordered individually. * The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Transcript of ImmunoCAP Allergy Pro les - Quest Diagnostics · Olive (Olea europa), t9 ... f17 + Milk, f2 ......

Page 1: ImmunoCAP Allergy Pro les - Quest Diagnostics · Olive (Olea europa), t9 ... f17 + Milk, f2 ... ImmunoCAP ® Allergy Pro les Region XIII: Southern Coastal, CA Test Code: 91683 Specimen

ImmunoCAP® Allergy Profiles

Fact Sheet

Respiratory Allergy Profile Food Allergy Profile

Allergens Indicated by Cap Codes

d: dust mites (house)

e: epidermal

f: food

g: grass

i: insect

m: mold

t: tree

w: weed

*Any profile component listed can be ordered individually. The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Region XIII: Southern Coastal, CA

Test Code: 10655

Specimen Requirements: 2 mL serum, room temperature

CPT Codes*: 86003 x 25 Specific IgE; 82785 Total IgE

Test Code: 91682

Specimen Requirements: 2 mL serum, room temperature

CPT Codes*: 86003 x 15 Specific IgE

Alder (Alpus incana) , t2

Alternaria alternata, m6

Aspergillus fumigatus, m3

Bermuda grass (Cynodon dactylon), g2

Cat dander, e1

Cladosporium herbarum, m2

Cockroach, i6

Common ragweed (Short; Ambrosia elatior), w1

Cottonwood (Populus deltoides), t14

D. farinae, d2

D. pteronyssinus, d1

Dog dander, e5

Elm (Ulmus americana), t8

Johnson grass (Sorghum halepense), g10

Mountain cedar (Juniperus sabinoides), t6

Mouse urine, e72

Mugwort (Safebrush; Artemisia vulgaris) , w6

Oak (Quercus alba), t7

Olive (Olea europa) , t9

Penicillium notatum, m1

Rough pigweed (Amaranthus retroflexus), w14

Russian thistle (Saltwort, Salsola kali) , w11

Timothy grass (Phleum pratense), g6

Walnut (Juglans californica), t10

White mulberry, t70

Total IgE

Food Allergy Profile with Reflexes Respiratory Allergy Profile

Almond, f20

Cashew, f202

Cod fish, f3

Egg white, f1+

Hazelnut, f17

Milk, f2+

Peanut, f13+

Salmon, f41

Scallop, f338

Sesame, f10

Shrimp, f24

Soybean, f14

Tuna, f40

Walnut, f256

Wheat, f4

+Indicates allergens that will be reflexed if test results are positive.

Any profile component listed can be ordered individually.

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Page 2: ImmunoCAP Allergy Pro les - Quest Diagnostics · Olive (Olea europa), t9 ... f17 + Milk, f2 ... ImmunoCAP ® Allergy Pro les Region XIII: Southern Coastal, CA Test Code: 91683 Specimen

Allergens Indicated by Cap Codes

d: dust mites (house)

e: epidermal

f: food

g: grass

i: insect

m: mold

t: tree

w: weed

*Any profile component listed can be ordered individually. The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

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Fact Sheet

Childhood Allergy (Food/Environmental) Profile

ImmunoCAP® Allergy ProfilesRegion XIII: Southern Coastal, CA

Test Code: 91683

Specimen Requirements: 2 mL serum, room temperature

CPT Codes*: 86003 x 15 Specific IgE; 82785 Total IgE

Contact your local sales representative or call 1-866-MY-QUEST (1-866-697-8378) for more information

MI2346-CA-SC 06/2015

Childhood Allergy (Food/Environmental) Profile with Reflexes

Specific IgE

Alternaria alternata, m6

Cat dander, e1

Cladosporium herbarum, m2

Cockroach, i6

Cod fish, f3

D. farinae, d2

D. pteronyssinus, d1

Dog dander, e5

Egg white, f1+

Milk, f2+

Peanut, f13+

Shrimp, f24

Soybean, f14

Walnut, f256

Wheat, f4

Total IgE

+Indicates allergens that will be reflexed if test results are positive.

Any profile component listed can be ordered individually.

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.