Immunofixation Electrophoresis

Last Modified: 12/30/2020 1:04:11 PM


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 must include the patients age

Minimum Volume: 0.2 mL Serum
Transport & Storage: Temperature/Stability: 72 hours Refrigerated
Reference Range:

Refer to Interpretive Results

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: IFES
EPIC Test Code: LAB174
Alternate Test Names: IFE; SIEP; SIEP w/ SPEP
Included Tests:

IFE for IgA; IFE for IgG; IFE for IgM; IFE for Kappa; IFE for Lambda; Pathology Interpretation; Protein Fractions [Albumin, Alpha-1 Globulin, Alpha-2 Globulin, Beta Globulin, Gamma Globulin]; Total Protein, Serum

CPT Coding: 86334, 84165

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