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Test Code LABSPEP Myeloma/MGUS* M-Spike Surveillance, Serum

Important Note

Note: Plasma is not acceptable for serum protein electrophoresis.

Additional Codes

Test Name in EPIC EPIC Test Code Mnemonic
MYELOMA/MGUS M-SPIKE SURVEILLANCE, SERUM LABSPEP SPEP

Note: This test should be ordered for patients with a monoclonal history that are being monitored for disease progression or therapy response.

*MGUS-Monoclonal Gammopathy of Uncertain Significance

Methodology

Electrophoresis: Includes albumin; alpha-1-globulin; alpha-2-globulin; beta- and gamma-globulin fractions; protein, total; and interpretation.

Specimen Requirements

Specimen Type: Serum

Container/Tube: Serum gel

Specimen Volume: 1.5 mL

Specimen Minimum Volume: 1.0 mL

Collection Instructions: Spin down within 4 hours of draw.

Specimen Transport Temperature

Refrigerate 5 days/Frozen OK/Ambient 24 hours OK

Day(s) Test Set Up

Monday through Friday (day shift only)

Performing Laboratory

Chemistry-

SMDC Clinical Lab

Test Classification and CPT Coding

84155-Protein, total

84165-Electrophoresis, protein

This test also includes a professional interpretation fee.

Reference Values

ALBUMIN

0-14 days: 2.8-4.1 g/dL

15 days-1 year: 2.5-4.6 g/dL

1-7 years: 3.5-4.5 g/dL

8-14 years: 3.7-4.7 g/dL

Females: 15-18 years: 3.5-4.9 g/dL

Males: 15-18 years: 3.8-5 g/dL

Adult: 3.5-5.0 g/dL

ALPHA-1-GLOBULIN

0.2-0.4 g/dL

ALPHA-2-GLOBULIN

0.5-1.1 g/dL

BETA-GLOBULIN

0.6-1.3 g/dL

GAMMA-GLOBULIN

0.7-1.6 g/dL

TOTAL PROTEIN

0-14 days: 5.3-8.3 g/dL

15 days-1 year: 4.4-7.1 g/dL

1-5 years: 6.1-7.5 g/dL

6-8 years: 6.4-7.7 g/dL

9-18 years: 6.5-8.1 g/dL

Adult: 6.0-8.0 g/dL

INTERPRETATION

An interpretive report will be provided.