Peanut Component Reflex, S
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Peanut Component Reflex, S | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
PEANT
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
5.0 mL
Minimum Volume:
4.0 mL
Storage:
Refrigerated
Availability:
Sent to Mayo Medical Laboratory
Methodology:
Fluorescent Enzyme Immunoassay (FEIA)
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range is available on patient report.
If Peanut IgE is detectable (> or = 0.10 kU/L), then the 5 peanut components (Ara h 1, Ara h 3, Ara h 8, and Ara h 9) are performed at an additional charge.
CPT Code:
86003
Synonyms:
Ground Nut,
Monkey Nut,
Glycinin (h 1 and h 3),
Conglutin (h 2),
A bet v 1homologous allergen (h 8),
Group 1 Fagalesrelated protein (h 8),
PR10 Protein (h 8),
Nonspecific Lipid Transfer Protein (ns LTP) (h 9),
PR14 Protein (h 9),
Bet v2,
Profilin
