Immunofixation Electrophoresis

Last Modified: 3/27/2019 4:13:05 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:  
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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