Diagnostic Protein Workup without Immunoglobulins : 1016971

Test Code
DPWIO or 1016971

Alias/See Also
SPE; Protein electrophoresis; Protein immunotyping

CPT Codes
84155, 84165, 86334

Panel includes: Total Protein, Protein Electrophoresis and Immunotyping by Capillary Electrophoresis

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. 2 mL) into a standard transport tube.

Transport Temperature

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

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

Capillary Electrophoresis, Immunotyping by Capillary Electrophoresis

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 2:  0.4-1.0 g/dL
Albumin:  3.1-5.5 g/dL
Beta:   0.5-1.1 g/dL
Gamma:  0.7-1.5 g/dL

An interpretive report will be provided.

Clinical Significance
Assessing risk of progression from monoclonal gammopathy of undetermined significance to multiple myeloma.

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.