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

Test 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
Plastic screw-cap vial


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)

Setup Schedule
Set up: Mon-Sat; Report available: 2-7 days


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
14225 Newbrook Drive
Chantilly, VA 20153



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.