Last Modified:
9/5/2023 1:47:21 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
and
22.0 mL Random Urine in a Yellow Plastic Container
Collection Instructions:
Order must include the patients age
Transport & Storage: Temperature/Stability:
Serum
72 hours Refrigerated
Urine
7 days Refrigerated
Reference Range:
Refer to Interpretive Results
Test Comments:
Methodology:
Multiple
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
AMYLP
EPIC Test Code:
LAB3306
Included Tests:
Immunofixation Electrophoresis (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.); Immunofixation Electrophoresis, Random Urine (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 Random); Kappa / Lambda, Free with Ratio (Free Kappa; Free K/L Ratio; Free Lambda
CPT Coding:
84166, 86334, 86335, 84165, 83521, 83521
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