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MONOCLONAL GAMMOPATHY SCREENING PANEL
MessageIndividual components noted in Ordering section.
Test Code
MONSC
CPT Codes
84155; 84165; 86334; 83520 x2
Includes
Serum total protein, serum protein electrophoresis, serum capillary immunotyping, free kappa/free lambda light chain quantity and ratio, and a Pathologist interpretation.
Preferred Specimen
1 Gold tube (gel separator)
Minimum Volume
2 mL
Instructions
Centrifuge for complete separation of serum and red cells, but DO NOT aliquot. Refrigerate or freeze within two (2) hours of collection time.
Transport Temperature
Refrigerate
Specimen Stability
2-8°C up to 3 days; otherwise freeze
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
The following conditions will result in a rejected speciment:
- Hemolyzed samples
- Lipemic samples
- Aliquotted samples
Methodology
Multiple
Setup Schedule
M, T, W, Th, F
Report Available
Report available within 24 hours M-Th. 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.
Performed By
Alverno Laboratories
Performing Laboratory
Alverno Central Lab
NCH4 (Chemistry, Sebia Electrophoresis)
Last Updated: June 6, 2023