Immunofixation Electrophoresis, 24-hour Urine

Last Modified: 3/27/2019 4:11:50 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 aliquot from a well mixed 24 hour Urine Collection in a Plastic Container
Collection Instructions:

1. When starting the 24-hour period, urinate and discard (throw-away) this specimen. NOTE THE TIME
2. From that time on, collect all urine by urinating into a clean container and transfer into the provided container. 
DO NOT URINATE DIRECTLY INTO CONTAINER.
3. Try to pass the last urine just prior to the end of the 24 hour period. Add this urine into the container. 
4. Urine Specimen should be kept refrigerated during and after collection. 

For patient collection instruction sheet see Addendum D
For Spanish patient collection instruction sheet see Addendum D
For Burmese patient collection instruction sheet see Addendum D
For Arabic patient collection instruction sheet see Addendum D

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: UIF1
EPIC Test Code: LAB2657
Alternate Test Names: IFE, Urine 24hr
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, Urine 24-hr
CPT Coding: 84166, 86335

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