Protein Electrophoresis, Serum

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

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Address:

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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:

Collected By:

Hospital:

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

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Protein Electrophoresis, Serum

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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