Farmer's Lung Panel
Label Mnemonic: FARM
Epic Lab Code: LAB3108
Downtime Form: A-1a Miscellaneous Request
Commercial Mail-out Laboratory
5231 RCP
356-8593
Specimen(s):
Serum
Collection Medium:
and
Red top tube 5 mL (Clot Activator) Red top tube 5 mL (Clot Activator)
Minimum:
Preferred Minimum: TWO 2.5 mL aliquots of serum from red top tube
Absolute Minimum: TWO 1.0 mL serum from red top tube
Rejection Criteria:
Plasma. Contaminated, hemolyzed, or severely lipemic specimens.
Turn Around Time:
3-7 days upon receipt at reference laboratory
Reference Range:
Components Reference Interval A. fumigatus #1 Ab, Precipitin None detected A. fumigatus #6 Ab, Precipitin None detected A. pullulans Ab, Precipitin None detected Pigeon Serum, Ab, Precipitin None detected M. faeni Ab, Precipitin None detected T. vulgaris #1 Ab, Precipitin None detected A. flavus Ab, Precipitin None detected A. fumigatus #2 Ab, Precipitin None detected A. fumigatus #3 Ab, Precipitin None detected S. viridis Ab, Precipitin None detected T. candidus Ab, Precipitin None detected T. sacchari Ab, Precipitin None detected Allergen, Fungi & Molds, Less than 0.10 kU/L: No significant Phoma betae level detected 0.10-0.34 kU/L: Clinical relevance undetermined 0.35-0.70 kU/L: Low 0.71-3.50 kU/L: Moderate 3.51-17.50 kU/L: High 17.51 kU/L or Greater: Very High Allergen, Food, Beef Less than 0.10 kU/L: No significant level detected 0.10-0.34 kU/L: Clinical relevance undetermined 0.35-0.70 kU/L: Low 0.71-3.50 kU/L: Moderate 3.51-17.50 kU/L: High 17.51 kU/L or Greater: Very High Allergen, Food, Pork Less than 0.10 kU/L: No significant level detected 0.10-0.34 kU/L: Clinical relevance undetermined 0.35-0.70 kU/L: Low 0.71-3.50 kU/L: Moderate 3.51-17.50 kU/L: High 17.51 kU/L or Greater: Very High Allergen, Epidermals & Animal Negative Proteins, Feather Mix
Interpretive Data:
Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Although increasing ranges are reflective of increasing concentrations of allergen-specific IgE, this may not correlate with the degree of clinical response or skin testing when challenged with a specific allergen. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis.
Comments:
Please include relevant clinical information on test order form.

Testing includes antibodies directed at Aspergillus fumigatus #1, Aspergillus fumigatus #6, Aureobasidium pullulans, Micropolyspora faeni, Thermoactinomyces vulgaris #1, Aspergillus flavus, Aspergillus fumigatus #2, Aspergillus fumigatus #3, Saccharomonospora viridis, Thermoactinomyces candidus and Thermoactinomyces sacchari.
Methodology:
Qualitative Immunodiffusion/Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
CPT Code:
86003 x3, 86005, 86331 x7, 86606 x5