Immunofixation (IFE), Serum and Protein Electrophoresis, Serum

TEST: 001495
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CPT: 82784(x3) (IgG, IgA, IgM); 84155; 84165 (protein electrophoretic fractionation and quantitation); 86334 (immunofixation electrophoresis)
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Synonyms

  • Globulins, Serum
  • IEP, Serum
  • IFE, Serum and Protein Electrophoresis, Serum
  • Immunoelectrophoresis, Serum
  • Protein IEP

Test Includes

Quantitation of immunoglobulins IgA, IgG, and IgM; IFE interpretation of heavy- and light-chain patterns; serum protein electrophoresis

Special Instructions

State the patient's age and clinical diagnosis on the test request form.

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 Information

Related Documents

For more information, please view the literature below.

Published Plasma Cell Dyscrasias Selection Table

Specimen Requirements

Specimen

Serum

Volume

5 mL

Minimum Volume

2 mL (Note: This volume does not allow for repeat testing.)

Container

Red-top tube or gel-barrier tube

Collection

Separate serum from cells.

Storage Instructions

Refrigerate.

Stability Requirements

Temperature

Period

Room temperature

3 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Patient Preparation

Overnight fasting is preferred, but not required.

Causes for Rejection

Plasma sample

Test Details

Use

Detect and identify monoclonal immunoglobulin gammopathies

Methodology

Electrophoresis followed by immunodiffusion against monospecific antisera to immunoglobulin and individual heavy and light chains (IFE); protein electrophoresis on agarose media; turbidimetric quantitation of IgA, IgG, and IgM

Reference Interval

Normal pattern

Additional Information

Diagnose myeloma, macroglobulinemia of Waldenström. Immunofixation is used to evaluate monoclonal gammopathy (M protein) found on serum protein electrophoresis; evaluate amyloidosis. Has application to the evaluation of lymphoproliferative disease (malignant lymphoma and others) and collagen disease in general. Of use in the diagnosis and characterization of immune deficient and dysgammaglobulinemic states.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
001495 IFE and PE, Serum 001776 Immunoglobulin G, Qn, Serum mg/dL 2465-3
001495 IFE and PE, Serum 001784 Immunoglobulin A, Qn, Serum mg/dL 2458-8
001495 IFE and PE, Serum 001792 Immunoglobulin M, Qn, Serum mg/dL 2472-9
001495 IFE and PE, Serum 001073 Protein, Total g/dL 2885-2
001495 IFE and PE, Serum 149520 Albumin g/dL 2862-1
001495 IFE and PE, Serum 149521 Alpha-1-Globulin g/dL 2865-4
001495 IFE and PE, Serum 149522 Alpha-2-Globulin g/dL 2868-8
001495 IFE and PE, Serum 149523 Beta Globulin g/dL 2871-2
001495 IFE and PE, Serum 149524 Gamma Globulin g/dL 2874-6
001495 IFE and PE, Serum 149525 M-Spike g/dL 33358-3
001495 IFE and PE, Serum 149530 Globulin, Total g/dL 2336-6
001495 IFE and PE, Serum 149531 A/G Ratio 1759-0
001495 IFE and PE, Serum 149519 Immunofixation Result, Serum 13169-8
001495 IFE and PE, Serum 149534 Please note: 77202-0
001495 IFE and PE, Serum 001498 PDF 11502-2
Reflex Table for Immunofixation Result, Serum
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 149532 Immunofixation Interp.,Sr 149532 Immunofixation Interp.,Sr 13169-8

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