Skip to main content

Protein Electrophoresis With Interpretation, 24-Hour Urine With Reflex to IFE, 24-Hour Urine

CPT 84156; 84166
Synonyms
  • Urine (24-Hour) Interpretation, Protein Electrophoresis and Reflex to IFE, 24-Hour

Test Details

Methodology

Protein electrophoresis on agarose media; agarose gel immunofixation (IFE) if reflexed

Result 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

Test Includes

24-Hour urine protein electrophoresis with interpretation and automatic reflex to urine immunofixation (at an additional charge) if M-spike is present.

Use

Work up myeloma, macroglobulinemia of Waldenström, lymphoma, amyloidosis; differentiate between normal renal function, glomerular proteinuria, and tubular proteinuria. Increased glomerular permeability leads to higher concentrations of large proteins in the glomerular filtrate. Diminished tubular reabsorptive capacity results in a marked increase in urinary excretion of low molecular weight proteins.

Special Instructions

For random specimens, order test 003715.

Specimen Requirements

Specimen

Urine (24-hour)

Volume

20-mL aliquot

Minimum Volume

11-mL aliquot

Container

12-mL plastic transport tube (Labcorp No. 23597) without preservative

Collection Instructions

Mix well.

Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x1

Storage Instructions

Refrigerated (preferred) or room temperature

Causes for Rejection

Preservative added

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
123018 PE+Interp(Rfx IFE), 24-Hr U 013664 Protein,Total,Urine mg/dL 2888-6
123018 PE+Interp(Rfx IFE), 24-Hr U 013219 Prot,24hr calculated mg/24 hr 2889-4
123018 PE+Interp(Rfx IFE), 24-Hr U 133686 Albumin, U % 13986-5
123018 PE+Interp(Rfx IFE), 24-Hr U 133694 Alpha-1-Globulin, U % 13984-0
123018 PE+Interp(Rfx IFE), 24-Hr U 133702 Alpha-2-Globulin, U % 13987-3
123018 PE+Interp(Rfx IFE), 24-Hr U 133710 Beta Globulin, U % 13988-1
123018 PE+Interp(Rfx IFE), 24-Hr U 133728 Gamma Globulin, U % 13989-9
123018 PE+Interp(Rfx IFE), 24-Hr U 133729 M-Spike, % % 42484-6
123018 PE+Interp(Rfx IFE), 24-Hr U 133734 M-Spike, mg/24 hr mg/24 hr 42482-0
123018 PE+Interp(Rfx IFE), 24-Hr U 133800 Please note: 77202-0
123018 PE+Interp(Rfx IFE), 24-Hr U 133731 Comment: 77202-0
123018 PE+Interp(Rfx IFE), 24-Hr U 003724 PDF 11502-2
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code013664
Result Code NameProtein,Total,Urine
UofMmg/dL
Result LOINC2888-6
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code013219
Result Code NameProt,24hr calculated
UofMmg/24 hr
Result LOINC2889-4
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133686
Result Code NameAlbumin, U
UofM%
Result LOINC13986-5
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133694
Result Code NameAlpha-1-Globulin, U
UofM%
Result LOINC13984-0
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133702
Result Code NameAlpha-2-Globulin, U
UofM%
Result LOINC13987-3
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133710
Result Code NameBeta Globulin, U
UofM%
Result LOINC13988-1
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133728
Result Code NameGamma Globulin, U
UofM%
Result LOINC13989-9
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133729
Result Code NameM-Spike, %
UofM%
Result LOINC42484-6
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133734
Result Code NameM-Spike, mg/24 hr
UofMmg/24 hr
Result LOINC42482-0
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133800
Result Code NamePlease note:
UofM
Result LOINC77202-0
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code133731
Result Code NameComment:
UofM
Result LOINC77202-0
Order Code123018
Order Code NamePE+Interp(Rfx IFE), 24-Hr U
Order Loinc
Result Code003724
Result Code NamePDF
UofM
Result LOINC11502-2
Reflex Table for Comment:
Order Code Order Name Result Code Result Name UofM Result LOINC
Reflex 1 120758 IFE Reflex, 24-hr U 013482 Immunofixation Result, Urine 13440-3
Reflex 1
Order Code120758
Order NameIFE Reflex, 24-hr U
Result Code013482
Result NameImmunofixation Result, Urine
UofM
Result LOINC13440-3