Protein Electrophoresis, Serum
| PATIENT INFO |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Protein Electrophoresis, Serum | |
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| SPECIMEN INFO |
| Collection Date & Time: |
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Test ID :
PROEL
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top( no anticoagulant)
Collection Volume:
2.5 mL (minimum 1.25 mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Total Protein - Colorimetric, Biuret
Protein Electrophoresis - Agarose Gel Electrophoresis
Immunofixation- Immunofixation and or / Immunodiffusion
Lab/Phone:
330-543-8418
TAT:
2-5 days
Additional Info:
Reference range:
Total Protein > or = 1 year: 6.3-7.9 g/dL
Albumin: 3.4-4.7 g/dL
Alpha-1-globulin: 0.1-0.3 g/dL
Alpha-2-globulin: 0.6-1.0 g/dL
Beta globulin: 0.7-1.2 g/dL
Gamma globulin: 0.6-1.6 g/dL
CPT Code:
84165, 84155, 0077U (if appropriate), 86334 (if appropriate)
Panel Includes:
Total Protein, Albumin, Alpha -1 globulin, Alpha -2 globulin, Beta globulin, Gamma globulin, A/G Ratio, M spike, Impression
