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Test Code 139 Electrophoresis/Immunofixation Reflex (SPE,ELP,IF)

Additional Codes

COPIA Test Code EPIC Test Code
Electrophoresis/Immunofixation Reflex LAB0234337 SERUM PROTEIN ELECTROPHORESIS WITH REFLEX IMMUNOFIXATION

 

Reporting Title

Electrophoresis/Immunofix Reflex

Methodology

Electrophoresis

Performing Laboratory

Rice Memorial Hospital

Specimen Requirements

Specimen Type: Serum

Container Tube: Clot, plain, activator or gel separator

Specimen Volume: 1 mL

Specimen Minimum Volume: 0.5 mL

Additional Information: Hemolyzed samples are not acceptable.

Specimen Transport Temperature

Refrigerated ≤7 days/Frozen ≤1 month 

Reference Values

PROTEIN ELECTROPHORESIS

Total Protein: 6.0-8.0 g/dL
Albumin: 3.8-5.1 g/dL

Alpha1: 0.2-0.4 g/dL

Alpha2: 0.5-1.0 g/dL

Beta: 0.6-1.2 g/dL

Gamma: 0.6-1.6 g/dL

Paraprotein: 0.0 g/dL

 

IMMUNOFIXATION (if indicated)

Negative for monoclonal gammopathy.

 

An interpretive report will be provided.

Day(s) Test Set Up

Monday, Thursday

CPT Coding

84165-Protein, ELP Fractionation and Quantitation

86334-Immunofixation, Serum (if indicated)

Pathologist fees will be billed separately.