MONOCLONAL GAMMOPATHY SCREENING PANEL

Message

Individual 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

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.