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For hours, walk-ins and appointments.Immunofixation (IFE) and Protein Electrophoresis, Random Urine
CPT:
84156; 84166; 86335
Synonyms
- Bence Jones Protein Identification, Random Urine
- Globulins, Random Urine
- Myeloma Proteins, Random Urine
- Urine Immunofixation for Myeloma Proteins
Test Includes
α1-Globulin, urine; α2-globulin, urine; β-globulin, urine; γ-globulin, urine; M-spike percentage; protein immunofixation, urine
Special Instructions
The request form should include patient's age and clinical diagnosis.
Expected Turnaround Time
3 - 5 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Related Documents
Specimen Requirements
Specimen
Urine (random) (For 24-hour urine specimens, order test 003467.)
Volume
30-mL aliquot of random urine
Minimum Volume
11-mL aliquot of random urine
Container
12-mL plastic transport tube (Labcorp No. 23597) without preservative
Collection
Collect first morning urine; mix well.
Storage Instructions
Refrigerated (preferred) or room temperature
Stability Requirements
Temperature | Period |
|---|---|
Room temperature | 14 days |
Refrigerated | 14 days |
Frozen | 14 days |
Freeze/thaw cycles | Stable x1 |
Causes for Rejection
Preservative added
Test Details
Use
Characterize the species of protein or proteins in cases of proteinuria. Techniques can identify albumin, γ-globulin, γ-globulin fragments (light chains, Bence Jones proteins); of value in the study of monoclonal gammopathies, lymphoproliferative diseases, including lymphoma; special application to multiple myeloma, macroglobulinemia of Waldenström, and amyloidosis; work up monoclonal gammopathy (M-spike)
Methodology
Urine immunofixation (IFE) on agarose gel; urine protein electrophoresis on agarose media; visual light-chain typing
LOINC® Map
| Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
|---|---|---|---|---|---|---|
| 122390 | IFE and PE, Random Urine | 013664 | Protein,Total,Urine | mg/dL | 2888-6 | |
| 122390 | IFE and PE, Random Urine | 133751 | Albumin, U | % | 13986-5 | |
| 122390 | IFE and PE, Random Urine | 133769 | Alpha-1-Globulin, U | % | 13984-0 | |
| 122390 | IFE and PE, Random Urine | 133777 | Alpha-2-Globulin, U | % | 13987-3 | |
| 122390 | IFE and PE, Random Urine | 133785 | Beta Globulin, U | % | 13994-9 | |
| 122390 | IFE and PE, Random Urine | 133793 | Gamma Globulin, U | % | 13989-9 | |
| 122390 | IFE and PE, Random Urine | 133794 | M-Spike, % | % | 42484-6 | |
| 122390 | IFE and PE, Random Urine | 013482 | Immunofixation Result, Urine | 13440-3 | ||
| 122390 | IFE and PE, Random Urine | 149533 | Note: | N/A | ||
| 122390 | IFE and PE, Random Urine | 003724 | 11502-2 |
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