Protein Electrophoresis, Serum, with Image : 1004218

Test Code
SPEWI or 1004218


Alias/See Also
SPE; serum protein electrophoresis; protein electrophoresis


CPT Codes
84165, 84155

Includes
Includes Total Protein.
In addition to the standard serum protein electrophoresis report, a separate densitometer scan is provided by paper report to highlight any existing paraprotein bands.


Instructions
Serum separator tube (gold top preferred) or a plain red top tube.


Transport Container
Centrifuge the serum separator tube and transport; if a plain red top tube, centrifuge and aliquot serum (Min. 1 mL) into a standard transport tube.


Transport Temperature
Refrigerated.


Specimen Stability
After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 1 month


Methodology
Capillary Electrophoresis, Colorimetric

Setup Schedule
Monday - Friday


Report Available
2-5 days


Reference Range
Total Protein: 5.7-8.2 g/dL
Alpha 1: 0.2-0.5 g/dL
Alpha 1 %: 2.5-5 %
Alpha 2: 0.4-1.0 g/dL
Alpha 2 %: 7-13 %
Albumin: 3.1-5.5 g/dL
Albumin %: 52-65 %
Beta: 0.5-1.1 g/dL
Beta %: 8-14 %
Gamma: 0.7-1.5 g/dL
Gamma %: 12-22 %
Globulin: 2.0-3.8 g/dL
A/G Ratio: 0.9-2.5
An interpretive report will be provided.


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.