Protein Electrophoresis, with Total Protein and Reflex to IFE, Serum

Test Code
PEIFE


Quest Code
10269


CPT Codes
84155, 84165

Includes
If abnormal banding is detected, then Immunofixation will be performed at an additional charge (CPT code(s): 86334).


Preferred Specimen
4 mL serum


Patient Preparation
Overnight fasting is preferred

Minimum Volume
2 mL


Transport Container
Transport tube


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 4 days
Refrigerated: 7 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic • Plasma


Methodology
Capillary Zone Electrophoresis • Spectrophotometry (SP)

Reference Range
Protein, Total, Serum
  Male (g/dL) Female (g/dL)
<1 Month 4.1-6.3 4.2-6.2
1-5 Months 4.7-6.7 4.4-6.6
6-11 Months 5.5-7.0 5.6-7.9
1-19 Years 6.3-8.2 6.3-8.2
≥20 Years 6.1-8.1 6.1-8.1

Protein Electrophoresis  
Albumin 3.8-4.8 g/dL
Alpha-1 Globulin 0.2-0.3 g/dL
Alpha-2 Globulin 0.5-0.9 g/dL
Beta-1 Globulin 0.4-0.6 g/dL
Beta-2 Globulin 0.2-0.5 g/dL
Gamma Globulin 0.8-1.7 g/dL
Abnormal Protein Band 1 None detected
Abnormal Protein Band 2 None detected
Abnormal Protein Band 3 None detected


Clinical Significance
Serum protein electrophoresis (SPE) is an analytical technique that provides separation of serum protein into six fractions: Albumin, Alpha-1, Alpha-2, Beta-1, Beta-2, and Gamma. Interpretation of elevation, decreased, or visual change in different fractions can be used as a diagnostic aid for a variety of different disease states and protein abnormalities, including monoclonal gammopathies (MG).


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




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.