MONOCLONAL GAMMOPATHY SCREENING PANEL

Test Code

LAB8415 (MISCELLANEOUS)

CPT Codes
84155, 84165, 86334, 83520 x2

Includes

Total protein
Protein elctrophoresis
Capillary immunotyping
Free kappa/free lamda light chaing quantity and ratio
Pathologist interpretation

Preferred Specimen

1 Gold tube (SST)

Patient Preparation
None

Minimum Volume

2 mL (5 mL optimal)

Instructions

Centrifuge for compelte separation of serum from red cells, but DO NOT ALIQUOT. Refrigerate or freeze within 2 hours of collection time.

Transport Container

Gold tube (do not aliquot)

Transport Temperature

Refrigerate

Specimen Stability

2-8°C up to 3 days; otherwise freeze

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

Hemolyzed samples
Lipemic samples
Aliquotted samples

Methodology
Multiple

Setup Schedule

M, T, W, Th, F

Batched; Once per day (Day shift only)

Report Available

Available within 24 hours M-F. Samples collected on Friday will be reported on Monday.

Reference Range

Component	g/dL
Total Protein	6.4 - 8.9
Albumin, E1	3.1 - 5.0
Alpha 1	0.2 - 0.5
Alpha 2	0.5 - 1.1
Gamma	0.7 - 1.7
Albumin/Globulin Ratio	0.7 - 1.8

Clinical Significance

This panel is used for the diagnosis of monoclonal gammopathies and eliminates the need for urine monoclonal studies as part of the initial screen for monoclonal gammopathies other than light chain amyloidosis.

Performing Laboratory
Alverno Central Lab

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.