Protein Electrophoresis

Included Tests

Protein Fractions [Albumin; Alpha 1 Globulin; Alpha 2 Globulin; Beta Globulin; Gamma Globulin; Globulin]; Pathology Interpretation; Total Protein

Specimen Requirements

1.0 mL Serum from a Red Top Tube in a Plastic Vial

Transport And Storage

7 days Refrigerated

24 hours unspun

Collection Instructions

Order and specimen label, must include the patient's age

Minimum Volume

0.1 mL Serum

Neonatal Volume

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

Methodology:

• Electrophoresis

CPT Coding

84155, 84165

Medical Necessity Documentation