Test Overview
Test Methodology

See individual tests.

Test Usage

To differentiate between monoclonal and polyclonal gammopathies. To identify and type monoclonal immunoglobulins for heavy and light chain specificity. Monoclonal gammopathy evaluation (MGE) is essential when clinical, hematologic, or pathologic findings indicate: multiple myeloma, Waldenstrom's, heavy chain disease, amyloidosis, or Ig deposition disease. MGE is also essential in the presence of abnormal bands on serum protein electrophoresis (TPE), in cryoglobulins, in Bence Jones proteinuria, in pyroglobulins, and in hyperviscosity syndrome. If light chain disease is part of the differential diagnosis, submit a urine specimen for Bence Jones Protein Screen.

Reference Range *

Pathologist interpretation of results provided.

Test Details
Days Set Up
Monday - Friday
Analytic Time

72 hours

Soft Order Code
MGE2
MiChart Code
Monoclonal Gammopathy Evaluation
Synonyms
  • Gammopathy Panel
  • IFIX, Serum
  • Immunoelectrophoresis (IEP), Serum
  • Immunofixation (IFIX), Serum
  • Immunoglobulin Electrophoresis
  • Kappa Light Chains, Serum
  • Lambda Light Chains, Serum
  • Light Chains, Serum
  • Myeloma Proteins, Serum
  • MONOCLONAL GAMMOPATHY EVAL
  • IMMUNOFIXATION - SERUM
  • IFIX
  • IGS
  • TPE
  • IMFIXATION
  • IMMUNOFIXATION - SERUM
  • IMMUNOGLOBULIN QUANTITATION
  • PROTEIN ELECTROPHORESIS
  • IMMUNOFIXATION
Laboratory
Chemical Pathology
Section
Immunopathology
Specimen Requirements
Collection Instructions

Collect specimen in SST tube. Centrifuge, aliquot serum into a plastic vial and refrigerate.

Alternate Specimen
Red top tube.
Yellow Top Tube
Normal Volume
2 mL serum
Minimum Volume
0.6 mL serum
Additional Information

Test includes pathologist interpretation of results billed as a separate additional charge. This test is not available without interpretation. Test includes serum protein electrophoresis, total protein, immunoglobulin quantitation (G, A, M), immunoglobulin free light chains, and immunofixation if indicated. Polyclonal elevations are found in acute and chronic inflammation, drug induced cholestatic hepatitis, cirrhosis, biliary cirrhosis, chronic infections, subacute bacterial endocarditis, sarcoidosis, ulcerative colitis, intestinal obstruction, autoimmune disease and others. IgG elevation is seen in IgG myeloma, and chronic active hepatitis. IgA elevation is seen in respiratory and gastrointestinal infections, IgA myeloma, malabsorption and diarrhea. IgM elevation is seen in viral infections, infectious mononucleosis, Waldenstrom's macroglobulinemia, after numerous transfusions and nephrotic syndrome. One or more immunoglobulins may be elevated in benign monoclonal gammopathy. One or more immunoglobulins may be decreased on a congenital basis. Acquired decreases are seen in relation to immunosuppressive therapy, lymphoma, leukemia, myeloma, macroglobulinemia, excessive protein loss (nephrosis, renal disease, gastroenteropathies, cutaneous burns, ascites, eczema), and others. Test includes a pathologist's evaluation of normal and abnormal proteins. Immunofixation requests on patients with previously diagnosed paraproteinemias will be cancelled as test not indicated if the gammopathy persists.

Billing
CPT Code
84165, 86334, 82784 x3, 83883 x2
Fee Code
30951 TPE, 21986 21987 21988 IGS, 21991 IFIX, 33300 KFLC, 36100 LFLC
Pro Fee CPT
84165-26 TPE, 86334-26 IFIX
Pro Fee Code
84165 TPE, 86334 IFIX
NY State Approved
No