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Methodology: ImmunoCAP®
Edit Date: 4/19/2010
Performed: Monday-Saturday
Released: Same day as tested
CPT Code: 86003 each allergen
Specimen Collection Details
Collection: One 7.5 mL serum separator tube (SST).
Handling: Allow to clot, centrifuge and immediately separate serum from cells into a plastic vial. Refrigerate.
Stability: 48 hours ambient, 14 days refrigerated, or 1 year frozen.
Standard Volume: 0.25 mL serum each allergen ordered.
Minimum Volume: 0.2 mL each allergen ordered.
Transport: Refrigerated.
Comments: NOTE: Providence Health Plan, and possibly other insurers, requires prior authorization on any allergy test before ordering. Please check the Test Preauthorization List.
Rejection Criteria: Hemolyzed, icteric, or lipemic specimen.
This test may require insurance company prior authorization before ordering.
Please check the
preauthorization list.

Failure to gain preauthorization may result in denial of coverage.

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