Protein Electrophoresis, Urine

Last Modified: 8/21/2023 2:42:34 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: 20.0 mL Urine in a Plastic Vial
Collection Instructions:  
Minimum Volume: 10.0 mL
Transport & Storage: Temperature/Stability: 7 days 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: UELR1
EPIC Test Code: LAB438
Alternate Test Names: UPEP, Random
Included Tests:

Protein Fractions [Albumin, Alpha-1 Globulin, Alpha-2 Globulin, Beta Globulin, Gamma Globulin]; Pathology Interpretation; Total Protein, Urine Random 
CPT Coding: 84166

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