Protein Electrophoresis, Urine with Reflex to Immunofixation Electrophoresis : 1004881

Test Code
UPEIER or 1004881

Alias/See Also
UPE; Urine protein electrophoresis; UIFE

CPT Codes
84156, 84166

Includes total protein and protein electrophoresis. If an abnormal electrophoresis result, then Urine Immunofixation Electrophoresis will be performed at an additional charge (CPT code(s): 86335). (If reflex: 1000938, UIE)

Random or 24-hour urine (keep refrigerated).

Transport Container
Submit an aliquot (Min. 30 mL) of the well-mixed random urine or the well-mixed 24-hour urine collection in a screw capped container.

Transport Temperature

Specimen Stability
Ambient: 2 hours; Refrigerated: 72 hours; Frozen: 1 month

Electrophoresis, Colorimetric; if reflex, Immunofixation Electrophoresis

Setup Schedule
Monday & Wednesday & Friday

Report Available
2-5 days

Reference Range
Urine Protein: 0-12 mg/dL
An interpretive report will be provided.

If reflex: Pattern: normal

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.