Immunofixation Electrophoresis
Label Mnemonic: SIFE
Epic code: LAB156
Order form: Laboratory Requisition
Supply order: Supply Order Form
Billing: Billing Policies
CPT code: 86334
Specimen(s):
Serum
Collection Medium:
Red top tube 5 mL (Clot Activator)
Minimum:
Adult - 2 mL; red top tube
Pediatric - 2 mL; red top tube
Testing Schedule:
Monday - Friday
Turn Around Time:
48 hours
Reference Range:
Negative for monoclonal proteins. The serum IFE report will include a descriptive report of abnormalities, if present.
Comments:
Include relevant clinical information and consultation request. Quantitative kappa/lambda light chain ratios are recommended as a screen for suspected multiple myeloma, Waldenström's macroglobulinemia, or malignant lymphomas, except in the setting of bone marrow or solid organ transplantation.
Methodology:
Capillary electrophoresis with immunotyping
Sample Processing:
Centrifuge at a speed and time necessary to get barrier separation of plasma/serum and cells.
Separate plasma or serum into labeled container and cap.
Relevant clinical information must be submitted with specimen in order to provide correct interpretation of test results.
Sample Storage:
Refrigerate.
Transport Instructions:
Place labeled specimen into zip-lock type biohazard bag; seal bag.
Place completed requisition into outside pocket of bag.
Transport in cooler with refrigerated coolant packs.
CPT Code:
86334