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Allergen Profile, Food, IgE With Component Reflexes

CPT

86003(x16); 86008

Test Details

Methodology

Thermo Fisher ImmunoCAP® Allergen-specific IgE

Result Turnaround Time

4 - 6 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Related Documents

For more information, please view the literature below.

Food Allergy Testing Brochure

Test Includes

This profile includes the nine major allergen groups associated with food allergy1-4 and their reflexes to components: almond; Brazil nut; cashew nut; codfish; egg white; hazelnut (filbert); milk; peanut (whole); salmon; scallop; sesame seed; shrimp; soybean; tuna; walnut; wheat and w5-gliadin (tri-19).

• If milk IgE ≥ 0.35 kU/L, reflex tests α-lactalbumin, β-lactoglobulin and casein will be added.

• If egg white IgE ≥ 0.35 kU/L, reflex tests ovalbumin and ovomucoid will be added.

• If sesame IgE ≥ 0.10 kU/L, reflex test Ses I 1 will be added.

• If walnut IgE ≥ 0.10 kU/L, reflex tests Jug r 1 and Jug r 3 will be added.

• If hazelnut (filbert) IgE ≥ 0.10 kU/L, reflex tests Cor a 1, Cor a 8, Cor a 9 and Cor a 14 will be added.

• If cashew nut IgE ≥ 0.10 kU/L, reflex test Ana o 3 will be added.

• If Brazil nut IgE ≥ 0.10 kU/L, reflex test Ber e 1 will be added.

• If peanut (whole) IgE ≥0.10 kU/L, reflex tests Ara h 1, Ara h 2, Ara h 3, Ara h 6, Ara h 8 and Ara h 9 will be added.

• If wheat IgE ≥ 0.10 kU/L, one or more of the following components may be tested: Gliadin, Tri a 14 (wheat nsLTP), Phl p 12 (Timothy grass profilin) and/or Cross-reactive Carbohydrate Determinant (CCD).

Use

This panel is designed to measure the extent of allergen sensitization in children, adolescents and adults.

Footnotes

1. Sicherer SH, Warren CM, Dant C, Gupta RS, Nadeau KC. Food Allergy from Infancy Through Adulthood. J Allergy Clin Immunol Pract. 2020 Jun;8(6):1854-1864.32499034
2. Major Allergens: The Big Nine. School Nutrition Association (SNA) website: https://schoolnutrition.org/resource/major-allergens-the-big-nine/. Accessed January 2024.
3. Food Allergies. U.S. Food and Drug Administration website: https://www.fda.gov/food/food-labeling-nutrition/food-allergies. Accessed January 2024.
4. Food Allergy & Anaphylaxis. Food Allergy and Anaphylaxis Connection Team website: https://www.foodallergyawareness.org/food-allergy-and-anaphylaxis/food-allergens/the-top-9-foodallergens/. Accessed January 2024.

References

Gupta RS, Warren CM, Smith BM, et al. Prevalence and Severite of Food Allergies Among US Adults. JAMA Netw Open. 2019 Jan 4;2(1):e185630.30646188
Gupta RS, Warren CM, Smith BM, et al. The Public Health Impact of Parent-Reported Childhood Food Allergies in the United States. Pediatrics. 2018 Dec;142(6):e20181235.30455345
Savage J, Sicherer S, Wood R. The Natural History of Food Allergy. J Allergy Clin Immunol Pract. 2016 Mar-Apr;4(2):196-203; quiz 204.26968958
Sicherer SH, Sampson HA. Food allergy: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. J Allergy Clin Immunol. 2018 Jan;141(1):41-58.29157945
Sicherer SH, Sampson HA. Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment. J Allergy Clin Immunol. 2014 Feb;133(2):291-307; quiz 308.24388012

Specimen Requirements

Specimen

Serum

Volume

4 mL

Minimum Volume

3 mL (Note: This volume does not allow for repeat testing.)

Container

Red-top tube or gel-barrier tube

Collection Instructions

If a red-top tube is used, transfer separated serum to a plastic transport tube.

Stability Requirements

TemperaturePeriod
Room temperature14 days
Refrigerated14 days
Frozen3 months
Freeze/thaw cyclesStable x3

Storage Instructions

Room temperature

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
608005 Allergy Profile, Food 602444 Class Description N/A
608005 Allergy Profile, Food 602457 F014-IgE Soybean kU/L 6248-9
608005 Allergy Profile, Food 602479 F020-IgE Almond kU/L 6019-4
608005 Allergy Profile, Food 602465 F003-IgE Codfish kU/L 6082-2
608005 Allergy Profile, Food 602507 F041-IgE Salmon kU/L 6237-2
608005 Allergy Profile, Food 602510 F040-IgE Tuna kU/L 6270-3
608005 Allergy Profile, Food 602478 F338-IgE Scallop kU/L 7691-9
608005 Allergy Profile, Food 602473 F024-IgE Shrimp kU/L 6246-3
608005 Allergy Profile, Food 606844 F002-IgE Milk kU/L 7258-7
608005 Allergy Profile, Food 606841 F001-IgE Egg White kU/L 6106-9
608005 Allergy Profile, Food 607741 F010-IgE Sesame Seed kU/L 6242-2
608005 Allergy Profile, Food 606414 F013-IgE Peanut kU/L 6206-7
608005 Allergy Profile, Food 606842 F017-IgE Hazelnut (Filbert) kU/L 6136-6
608005 Allergy Profile, Food 606845 F256-IgE Walnut kU/L 6273-7
608005 Allergy Profile, Food 606837 F202-IgE Cashew Nut kU/L 6718-1
608005 Allergy Profile, Food 606836 F018-IgE Brazil Nut kU/L 6050-9
608005 Allergy Profile, Food 607843 F416-IgE Tri a 19(w-5 gliadin) kU/L 58752-7
608005 Allergy Profile, Food 607841 F004-IgE Wheat kU/L 6276-0
608005 Allergy Profile, Food 607999 Reflex N/A
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code602444
Result Code NameClass Description
UofM
Result LOINCN/A
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code602457
Result Code NameF014-IgE Soybean
UofMkU/L
Result LOINC6248-9
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code602479
Result Code NameF020-IgE Almond
UofMkU/L
Result LOINC6019-4
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code602465
Result Code NameF003-IgE Codfish
UofMkU/L
Result LOINC6082-2
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code602507
Result Code NameF041-IgE Salmon
UofMkU/L
Result LOINC6237-2
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code602510
Result Code NameF040-IgE Tuna
UofMkU/L
Result LOINC6270-3
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code602478
Result Code NameF338-IgE Scallop
UofMkU/L
Result LOINC7691-9
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code602473
Result Code NameF024-IgE Shrimp
UofMkU/L
Result LOINC6246-3
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code606844
Result Code NameF002-IgE Milk
UofMkU/L
Result LOINC7258-7
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code606841
Result Code NameF001-IgE Egg White
UofMkU/L
Result LOINC6106-9
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code607741
Result Code NameF010-IgE Sesame Seed
UofMkU/L
Result LOINC6242-2
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code606414
Result Code NameF013-IgE Peanut
UofMkU/L
Result LOINC6206-7
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code606842
Result Code NameF017-IgE Hazelnut (Filbert)
UofMkU/L
Result LOINC6136-6
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code606845
Result Code NameF256-IgE Walnut
UofMkU/L
Result LOINC6273-7
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code606837
Result Code NameF202-IgE Cashew Nut
UofMkU/L
Result LOINC6718-1
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code606836
Result Code NameF018-IgE Brazil Nut
UofMkU/L
Result LOINC6050-9
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code607843
Result Code NameF416-IgE Tri a 19(w-5 gliadin)
UofMkU/L
Result LOINC58752-7
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code607841
Result Code NameF004-IgE Wheat
UofMkU/L
Result LOINC6276-0
Order Code608005
Order Code NameAllergy Profile, Food
Order Loinc
Result Code607999
Result Code NameReflex
UofM
Result LOINCN/A
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602731 F076-IgE Alpha Lactalbumin kU/L 7445-0
Reflex 1
Order Code603848
Order NamePanel 603848
Result Code602731
Result NameF076-IgE Alpha Lactalbumin
UofMkU/L
Result LOINC7445-0
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602505 F077-IgE Beta Lactoglobulin kU/L 41397-1
Reflex 1
Order Code603848
Order NamePanel 603848
Result Code602505
Result NameF077-IgE Beta Lactoglobulin
UofMkU/L
Result LOINC41397-1
Reflex Table for F002-IgE Milk
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603848 Panel 603848 602554 F078-IgE Casein kU/L 6062-4
Reflex 1
Order Code603848
Order NamePanel 603848
Result Code602554
Result NameF078-IgE Casein
UofMkU/L
Result LOINC6062-4
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603851 Panel 603851 602791 F232-IgE Ovalbumin kU/L 7556-4
Reflex 1
Order Code603851
Order NamePanel 603851
Result Code602791
Result NameF232-IgE Ovalbumin
UofMkU/L
Result LOINC7556-4
Reflex Table for F001-IgE Egg White
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 603851 Panel 603851 602792 F233-IgE Ovomucoid kU/L 7557-2
Reflex 1
Order Code603851
Order NamePanel 603851
Result Code602792
Result NameF233-IgE Ovomucoid
UofMkU/L
Result LOINC7557-2
Reflex Table for F010-IgE Sesame Seed
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607742 F449-IgE Ses i 1 607742 F449-IgE Ses i 1 kU/L 100350-8
Reflex 1
Order Code607742
Order NameF449-IgE Ses i 1
Result Code607742
Result NameF449-IgE Ses i 1
UofMkU/L
Result LOINC100350-8
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604845 Panel 604845 603835 F422-IgE Ara h 1 kU/L 58779-0
Reflex 1
Order Code604845
Order NamePanel 604845
Result Code603835
Result NameF422-IgE Ara h 1
UofMkU/L
Result LOINC58779-0
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604845 Panel 604845 603836 F423-IgE Ara h 2 kU/L 58778-2
Reflex 1
Order Code604845
Order NamePanel 604845
Result Code603836
Result NameF423-IgE Ara h 2
UofMkU/L
Result LOINC58778-2
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604845 Panel 604845 603838 F424-IgE Ara h 3 kU/L 58777-4
Reflex 1
Order Code604845
Order NamePanel 604845
Result Code603838
Result NameF424-IgE Ara h 3
UofMkU/L
Result LOINC58777-4
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604845 Panel 604845 605970 F447-IgE Ara h 6 kU/L 90880-6
Reflex 1
Order Code604845
Order NamePanel 604845
Result Code605970
Result NameF447-IgE Ara h 6
UofMkU/L
Result LOINC90880-6
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604845 Panel 604845 603839 F352-IgE Ara h 8 kU/L 63477-4
Reflex 1
Order Code604845
Order NamePanel 604845
Result Code603839
Result NameF352-IgE Ara h 8
UofMkU/L
Result LOINC63477-4
Reflex Table for F013-IgE Peanut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604845 Panel 604845 603840 F427-IgE Ara h 9 kU/L 64965-7
Reflex 1
Order Code604845
Order NamePanel 604845
Result Code603840
Result NameF427-IgE Ara h 9
UofMkU/L
Result LOINC64965-7
Reflex Table for F017-IgE Hazelnut (Filbert)
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604726 Panel 604726 604735 F428-IgE Cor a 1 kU/L 69421-6
Reflex 1
Order Code604726
Order NamePanel 604726
Result Code604735
Result NameF428-IgE Cor a 1
UofMkU/L
Result LOINC69421-6
Reflex Table for F017-IgE Hazelnut (Filbert)
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604726 Panel 604726 604741 F425-IgE Cor a 8 kU/L 58753-5
Reflex 1
Order Code604726
Order NamePanel 604726
Result Code604741
Result NameF425-IgE Cor a 8
UofMkU/L
Result LOINC58753-5
Reflex Table for F017-IgE Hazelnut (Filbert)
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604726 Panel 604726 604742 F440-IgE Cor a 9 kU/L 65765-0
Reflex 1
Order Code604726
Order NamePanel 604726
Result Code604742
Result NameF440-IgE Cor a 9
UofMkU/L
Result LOINC65765-0
Reflex Table for F017-IgE Hazelnut (Filbert)
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604726 Panel 604726 604743 F439-IgE Cor a 14 kU/L 81788-2
Reflex 1
Order Code604726
Order NamePanel 604726
Result Code604743
Result NameF439-IgE Cor a 14
UofMkU/L
Result LOINC81788-2
Reflex Table for F256-IgE Walnut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604721 Panel 604721 604719 F441-IgE Jug r 1 kU/L 81790-8
Reflex 1
Order Code604721
Order NamePanel 604721
Result Code604719
Result NameF441-IgE Jug r 1
UofMkU/L
Result LOINC81790-8
Reflex Table for F256-IgE Walnut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604721 Panel 604721 604720 F442-IgE Jug r 3 kU/L 81789-0
Reflex 1
Order Code604721
Order NamePanel 604721
Result Code604720
Result NameF442-IgE Jug r 3
UofMkU/L
Result LOINC81789-0
Reflex Table for F202-IgE Cashew Nut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604239 Panel 604239 604161 F443-IgE Ana o 3 kU/L 82539-8
Reflex 1
Order Code604239
Order NamePanel 604239
Result Code604161
Result NameF443-IgE Ana o 3
UofMkU/L
Result LOINC82539-8
Reflex Table for F018-IgE Brazil Nut
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 604350 Panel 604350 604158 F354-IgE Ber e 1 kU/L 64963-2
Reflex 1
Order Code604350
Order NamePanel 604350
Result Code604158
Result NameF354-IgE Ber e 1
UofMkU/L
Result LOINC64963-2
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 602444 Class Description N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code602444
Result NameClass Description
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607842 F098-IgE Gliadin, Wheat kU/L 82583-6
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607842
Result NameF098-IgE Gliadin, Wheat
UofMkU/L
Result LOINC82583-6
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607953 F098-IgE Gliadin, Wheat 607956 Reflex N/A
Reflex 1
Order Code607953
Order NameF098-IgE Gliadin, Wheat
Result Code607956
Result NameReflex
UofM
Result LOINCN/A
Reflex Table for Reflex
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 607851 Reflex to Litholink 607851 Reflex to Litholink N/A
Reflex 1
Order Code607851
Order NameReflex to Litholink
Result Code607851
Result NameReflex to Litholink
UofM
Result LOINCN/A