Allergen Grain Screen
Food,  Grains (fx3)
    Test Codes
    EPIC: LAB1231167,  SOFT: GRANE
    Department
    Special Testing Allergens
    Instructions
    This multi-allergen IgE antibody assay screens for the following allergens: Buckwheat, Corn/Maize, Oat, Sesame Seed, and Wheat.
    Specimen Collection Criteria
    Collect: One Gold-top SST tube.
Twenty individual allergen assays or allergen screens can be performed on one 5 mL Gold-top SST tube. Each allergen assay requires 100 mcL of serum.
    Physician Office/Draw Specimen Preparation
    
Let specimen clot 30-60 minutes then immediately centrifuge to separate serum from cells. Refrigerate (2-8°C or 36-46°F) the centrifuged collection tube within two hours of collection.
 
    Preparation for Courier Transport
    Transport: Centrifuged collection tube refrigerated (2-8°C or 36-46°F).
    Rejection Criteria
    - Plasma specimens. 
- Severely lipemic or hemolyzed specimens. 
In-Lab Processing
    Let specimen clot 30-60 minutes then immediately centrifuge to separate serum from cells. Room temperature is acceptable for a maximum of two hours.
    Storage
    Specimen Stability for Testing:
Centrifuged SST Tubes and Microtainers® with Separator Gel
Room Temperature (20-26°C or 68-78.8°F): 2 hours
Refrigerated (2-8°C or 36-46°F): 7 days
Frozen (-20°C/-4°F or below): Unacceptable
Red-top Tubes and Microtainers® without Separator Gel
Room Temperature (20-25°C or 68-77°F): 2 hours
Refrigerated (2-8°C or 36-46°F): Unacceptable
Frozen (-20°C/-4°F or below): Unacceptable
Serum Specimens (Pour-Overs)
Room Temperature (20-26°C or 68-78.8°F): 2 hours
Refrigerated (2-8°C or 36-46°F): 7 days
Frozen (-20°C/-4°F or below): 1 month
Specimen Storage in Department Prior to Disposal:
Refrigerated (2-8°C or 36-46°F): 7 days
    Laboratory
    Royal Oak Special Testing Laboratory
    Performed
    Monday – Friday.
Results available the next business day.
    Reference Range
    Allergy Reference Range: Less than 0.35 kU/L. 
    
        
            | Range (kU/L) | Class | Interpretation | 
        
            | Less than or equal to 0.34 | 0 | Negative | 
        
            | 0.35-0.69 | 1 | Low | 
        
            | 0.70-3.49 | 2 | Medium | 
        
            | 3.50-17.49 | 3 | High | 
        
            | 17.50-49.99 | 4 | Very High | 
        
            | 50.0-100.0 | 5 | Very High | 
        
            | Greater than 100 | 6 | Very High | 
    
    Test Methodology
    Fluorescence Enzyme Immunoassay (FEIA).
    Interpretation
    This multi-allergen IgE antibody assay screens for the following allergens: Buckwheat, Corn, Oat, Sesame Seed, and Wheat.
    Clinical Utility
    Positive assay results indicate a high probability of allergic disease induced by one or more of the allergens present in the multi-allergen panel. Negative assay results effectively rule out allergy induced by those allergens.
    CPT Codes
    86005
LOINC: 15219-9
    Contacts
    
        
             Special Chemistry Laboratory – RO 
              
             248-551-8044 
         
        
            Name:  Special Chemistry Laboratory – RO 
            Location:   
            Phone:  248-551-8044 
         
    Last Updated
    1/10/2025
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