Resources

Protein, Total

Message
Performed in Chemistry


Test Code
PROT


Alias/See Also
Total Protein


CPT Codes
84155

Preferred Specimen
Green Top LiHep, Plasma
WyMCC - SST


Other Acceptable Specimens
Lavender Top EDTA, Gold/SST or Red Top


FDA Status
FDA Approved

Setup Schedule
Daily, Sunday through Saturday


Report Available
Less than 4 hours


Clinical Significance
Plasma proteins are synthesized predominately in the liver, plasma cells, lymph nodes, the spleen and in bone marrow. In the course
of disease the total protein concentration and also the percentage represented by individual fractions can significantly deviate from
normal values. Hypoproteinemia can be caused by diseases and disorders such as loss of blood, sprue, nephrotic syndrome, severe
burns, salt retention syndrome and Kwashiorkor (acute protein deficiency).
Hyperproteinemia can be observed in cases of severe dehydration and illnesses such as multiple myeloma. Changes in the relative
percentage of plasma proteins can be due to a change in the percentage of one plasma protein fraction. Often in such cases the
amount of total protein does not change. The A/G ratio is commonly used as an index of the distribution of albumin and globulin
fractions. Marked changes in this ratio can be observed in cirrhosis of the liver, glomerulonephritis, nephrotic syndrome, acute
hepatitis, lupus erythematosus as well as in certain acute and chronic inflammations. Total protein measurements are used in the
diagnosis and treatment of a variety of diseases involving the liver, kidney, or bone marrow, as well as other metabolic or nutritional
disorders




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.