| Physician
Information | Testing Options
| | Tools
for Your Practice
The availability of in vitro allergy
tests gives you diagnostic tools to identify your allergic patients,
develop a treatment plan or determine if referral to a specialist
is required. In addition, complementary tests can help you further
characterize the patient’s allergy or distinguish between
allergy and other diseases.
For example, patients with gastrointestinal
symptoms may also be tested for anti-Gliadin IgG and anti-Gliadin
IgA, autoimmune markers for celiac disease in which destruction
of the gut villous structure increases the permeability of the absorptive
area to macromolecules, resulting in increased antibody production
to food proteins. Gliadin, which is the ethanol-soluble fraction
of wheat gluten, is also found in barley, oats and rye.
In another case, urticaria is often
associated with autoimmune thyroid disease. Patients with urticaria
may also be tested for anti-Thyroid Peroxidase (TPO, microsomal)
and anti-Thyroglobulin (Tg) to determine if autoimmune thyroiditis
is the underlying cause of the symptom.
Testing for allergy and autoimmunity can be accomplished in your CLIA-registered in-office laboratory, or through a reference laboratory. Many laboratories
offer regional panels that cover a broad array of the airborne allergens
specific to given areas. For an overview of the allergens in your
region, click here to view our Regional
Allergen Map and Pollen Calendars. To learn more about HY•TEC™
Automated Allergy and Autoimmune testing and its role in your allergy
practice, click here.
Once you know what your patient is
allergic to, you can design a course of therapy that may include
avoidance and environmental controls, classical or sublingual
immunotherapy, pharmacotherapy or some combination of these treatments.
Serious allergy cases may be referred to a specialist.
CPT® Codes
The following CPT codes apply if you perform allergy and related
testing in your laboratory.
| 82785 |
IgE (total, quantitative) |
86376 |
Microsomal antibodies, each |
| 86003 |
Allergen-specific IgE; quantitative or semi-quantitative;
each allergen |
86800 |
Thyroglobulin antibody |
| 86005 |
Allergen-specific IgE; qualitative, multi-allergen screen |
83516 |
Immunoassay for analyte other than infectious agent antibody
or infectious agent antigen, qualitative or semiquantitative;
multiple step method |
CPT is a registered trademark of the American Medical Association. |