Farmer's Lung Panel
Label Mnemonic: FARM
Epic code: LAB3108
Order form: Laboratory Requisition
Supply order: Supply Order Form
Billing: Billing Policies
CPT code: 86003 x3, 86005, 86331 x6, 86606 x5
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.
Testing Schedule:
Sunday - Saturday
Turn Around Time:
3-7 days upon receipt at reference laboratory
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:
Note: Testing includes antibodies directed at Aspergillus fumigatus #1, A. fumigatus #2, A. fumigatus #3, A. fumigatus #6, A. flavus, Aureobasidium pullulans, Pigeon Serum, Micropolyspora faeni, Thermoactinomyces vulgaris #1, T. candidus, Saccharomonospora viridis, Phoma betae (fungi/mold, IgE), Pork (food, IgE), Beef (food, IgE), and Animal Feather Mix (IgE).

The reference intervals for Immunocap IgE allergen score are also reported.
Methodology:
Qualitative Immunodiffusion/Quantitative ImmunoCAP Fluorescent Enzyme Immunoassay
Sample Processing:
Allow to clot completely at room temperature. Separate serum from cells ASAP.
Centrifuge within two hours of draw time.
Label transport tube with patient last name, first name, identification number, date and time of collection.
Transfer serum into new screw-capped plastic vial.
Sample Storage:
Refrigerate, 2-8°C.
Transport Instructions:
Place labeled specimen into zip-lock type biohazard bag; seal bag.
Place completed requisition into outside pocket of bag.
Use refrigerated coolant packs.
Ship refrigerated.
CPT Code:
86003 x3, 86005, 86331 x6, 86606 x5