Protein Electrophoresis

Last Modified: 1/27/2022 7:24:04 AM


Medical Necessity Documentation:
Duplicate testing on this test is not acceptable per Medicare:  Testing to only be done every 7 days
Client Notes:  
Patient Preparation:  
Specimen Requirements:

1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:

Order and specimen label, must include the patient's age
Minimum Volume: 0.1 mL Serum
Transport & Storage: Temperature/Stability: 7 days Refrigerated

24 hours unspun
Reference Range: Total Protein: 6.3 - 8.2 g/dL
Albumin: 3.3 - 5.0 g/dL
Globulin: 2.2 - 3.8 g/dL
Alpha 1 Globulin: 0.2 - 0.6 g/dL
Alpha 2 Globulin: 0.4 - 0.8 g/dL
Beta Globulin: 0.6 - 1.1 g/dL
Gamma Globulin: 0.6 - 1.5 g/dL

For Age Specific Ranges please refer to  Addendum B
Critical Ranges:  
Test Comments: The drug Eltrombopag (Promacta) has been identified as causing a false positive bias in total protein measurement on the Ortho Vitros instrumentation which is utilized for total protein analysis at Parkview Dekalb Hospital.  If your patient is on eltrombopag and being directed to Parkview Dekalb Hospital for testing, please contact the lab at 920-2605 so that testing can be performed using an alternate instrument
Methodology: Electrophoresis
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: ELES
EPIC Test Code: LAB119
Alternate Test Names: Electrophoresis Protein Serum; ELES; SPE; SPEP; SPL
Included Tests: Protein Fractions [Albumin; Alpha 1 Globulin; Alpha 2 Globulin; Beta Globulin; Gamma Globulin; Globulin]; Pathology Interpretation; Total Protein
CPT Coding: 84155, 84165

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