Collect


Urine, Urine Cup

Preferred Draw Volume

100 mL urine

Minimum Draw Volume

50 mL urine

Unacceptable Conditions

Urine samples collected with preservatives for other assays or timed collections which have not been refrigerated are unacceptable.

Collection Comments

Refrigerate during collection. Record TV and collection dates. A monoclonal peak with no prior data reflexes to immunofixation. Can be performed on either a random or a 24 hour urine.

Storage/Transport Temperature

Refrigerated urine

Stability (from collection to initiation)

ELP - Refrigerated: 2 weeks; Frozen: 6 months IFE - Refrigerated: 7 days; Frozen 1 month

Ordering Recommendations

Anormal results reflex to immunofixation upon pathologists interpretation. The Protein Elp Urn IFE Rflx test consists of a urine protein electrophoresis (UPE) test followed by an immunofixation procedure (IFE) when the pathologist reviewing the initial UPE believes there is a monoclonal band, or a possible monoclonal band, present in the UPE pattern. The results of this test will include the pathologist's interpretation of the UPE and when indicated, also the IFE. Note: It is a Medicare requirement that this test must be ordered if the requesting physician would like to have a reflex IFE performed.

Performed

Monday -Friday; Days

Methodology

Electrophoresis/Immunofixation

Reported

3-4 days

Performing Lab

Special Chemistry

Synonyms

  • 6424
  • Electrophoresis Protein Urine w IFE Rflx
  • Protein Electrophoresis Urine w IFE Rflx
  • UPEP w IFE Rflx
  • URN Protein Electro w IFE Rflx
  • URN Protein Electrophoresis w IFE Rflx
  • Urine Protein Electro w IFE Rflx
  • Urine Protein Electrophoresis w IFE Rflx
  • Protein Electrophoresis with Rflx to Immunofixation
  • Bence Jones Protein

Reference Chart

CPT Codes

81050, 84156, 84166, if reflex add 84156, 86335

LOINC Codes

  NAME LOINC
Order Protein Electrophoresis Urine w IFE Rflx 34539-7
     
Result 2nd M Protein 35561-0
  Albumin ELP Ur QN 6942-7
  Globulin ELP Ur QN 49047-4
  Hours Collected 13362-9
  M Protein 35560-2
  PE Ur Interp 13438-7
  Protein ELP Ur QN 2888-6
  Total 2nd M Protein 66481-3
  Total M Protein 42482-0

Test Code (Outreach Synonym)

6424

Catalog Code

940106715
Collection

Collect


Urine, Urine Cup

Preferred Draw Volume

100 mL urine

Minimum Draw Volume

50 mL urine

Unacceptable Conditions

Urine samples collected with preservatives for other assays or timed collections which have not been refrigerated are unacceptable.

Collection Comments

Refrigerate during collection. Record TV and collection dates. A monoclonal peak with no prior data reflexes to immunofixation. Can be performed on either a random or a 24 hour urine.

Storage/Transport Temperature

Refrigerated urine

Stability (from collection to initiation)

ELP - Refrigerated: 2 weeks; Frozen: 6 months IFE - Refrigerated: 7 days; Frozen 1 month
Ordering

Ordering Recommendations

Anormal results reflex to immunofixation upon pathologists interpretation. The Protein Elp Urn IFE Rflx test consists of a urine protein electrophoresis (UPE) test followed by an immunofixation procedure (IFE) when the pathologist reviewing the initial UPE believes there is a monoclonal band, or a possible monoclonal band, present in the UPE pattern. The results of this test will include the pathologist's interpretation of the UPE and when indicated, also the IFE. Note: It is a Medicare requirement that this test must be ordered if the requesting physician would like to have a reflex IFE performed.

Performed

Monday -Friday; Days

Methodology

Electrophoresis/Immunofixation

Reported

3-4 days

Performing Lab

Special Chemistry

Synonyms

  • 6424
  • Electrophoresis Protein Urine w IFE Rflx
  • Protein Electrophoresis Urine w IFE Rflx
  • UPEP w IFE Rflx
  • URN Protein Electro w IFE Rflx
  • URN Protein Electrophoresis w IFE Rflx
  • Urine Protein Electro w IFE Rflx
  • Urine Protein Electrophoresis w IFE Rflx
  • Protein Electrophoresis with Rflx to Immunofixation
  • Bence Jones Protein
Result Interpretation

Reference Chart

Additional Information

CPT Codes

81050, 84156, 84166, if reflex add 84156, 86335

LOINC Codes

  NAME LOINC
Order Protein Electrophoresis Urine w IFE Rflx 34539-7
     
Result 2nd M Protein 35561-0
  Albumin ELP Ur QN 6942-7
  Globulin ELP Ur QN 49047-4
  Hours Collected 13362-9
  M Protein 35560-2
  PE Ur Interp 13438-7
  Protein ELP Ur QN 2888-6
  Total 2nd M Protein 66481-3
  Total M Protein 42482-0

Test Code (Outreach Synonym)

6424

Catalog Code

940106715