Immunofixation, Urine : 213

Test Code
URIFE or 213


CPT Codes
86335

Transport Container
Preferred Specimen
25 mL aliquot of random or 24-hour urine, no preservative
    
Minimum Volume
15 mL

Random Urine: Submit a first morning voided specimen if possible.


Transport Temperature
Room temperature.


Specimen Stability
Room Temperature: 4 days; Refrigerated: 7 days; Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Acidified Urine


Methodology
Immunofixation

Setup Schedule
Monday, Wednesday, Friday


Report Available
2-5 days


Reference Range
See Laboratory Report


Clinical Significance
Urine protein electrophoresis (UPEP) is used to analyze the protein content in urine. The proteins are separated into five major components: albumin, alpha‐1, alpha‐2, beta and gamma. Interpretation of elevations, decreases or visual changes in different components and/or associated patterns can provide information on various disease states including inflammatory diseases, autoimmune diseases, different types of kidney injury, plasma cell disorders and cancers. UPEP is used to evaluate an individual with symptoms associated with potential monoclonal gammopathy. This test can help with initial diagnosis as well as monitoring disease progression and treatment effectiveness. The use of 24‐hour urine collection (vs random urine) is recommended by the National Comprehensive Cancer Network Panel as one of the tests for diagnosis for multiple myeloma and for monitoring response to treatment.


Performing Laboratory
med fusion



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.