Monoclonal Protein with Immunoglobulins and Free Light Chains, serum | Cleveland Clinic Laboratories

Monoclonal Protein with Immunoglobulins and Free Light Chains, serum Print

Test Mnemonic

SERMPA

CPT Codes

83521 - QTY (2)
86334 - QTY (1)
83883 - QTY (2)
82784 - QTY (3)

Includes

Quantitative IgG
Quantitative IgA
Quantitative IgM
Free Kappa
Free Lambda
Interpretation

Performing Laboratory

Cleveland Clinic Laboratories

Specimen Requirements

Volume	Type	Container	Collect Temperature	Transport Temperature	Special Instructions
2 mL	Serum	SST (Gold)		Refrigerated

Minimum Specimen Requirements

Volume	Type	Container	Collect Temperature	Transport Temperature	Special Instructions
0.5 mL

Stability

Environmental Condition	Description
Ambient	1 day
Refrigerated	14 days
Frozen	30 days

Days Performed

Mon - Fri

Turnaround Time

1 - 7 days

Methodology

Name	Description
Immunofixation Electrophoresis
Immunoturbidometric Assay

Reference Range

Kappa, Free, Serum
Sex	Age From	Age To	Type	Range	Range Unit
			Normal	3.30-19.40	mg/L
Kappa/Lambda Ratio
Sex	Age From	Age To	Type	Range	Range Unit
				0.26-1.65
Lambda, Free, Serum
Sex	Age From	Age To	Type	Range	Range Unit
			Normal	5.7 - 26.3	mg/L
MPA Result
Sex	Age From	Age To	Type	Range	Range Unit
				No M protein is identified
MPA Serum IgA
Sex	Age From	Age To	Type	Range	Range Unit
	Months	11 Months	Normal	less than 83	mg/dL
	1 Years	3 Years	Normal	20 - 100	mg/dL
	4 Years	6 Years	Normal	27 - 195	mg/dL
	7 Years	9 Years	Normal	34 - 305	mg/dL
	10 Years	11 Years	Normal	53 - 204	mg/dL
	12 Years	13 Years	Normal	58 - 358	mg/dL
	14 Years	15 Years	Normal	47 - 249	mg/dL
	16 Years	19 Years	Normal	61 - 348	mg/dL
	20 Years	99 Years	Normal	70 - 400	mg/dL
MPA Serum IgG
Sex	Age From	Age To	Type	Range	Range Unit
	Months	11 Months	Normal	232 - 1411	mg/dL
	1 Years	3 Years	Normal	453 - 916	mg/dL
	4 Years	6 Years	Normal	504 - 1465	mg/dL
	7 Years	9 Years	Normal	572 - 1474	mg/dL
	10 Years	11 Years	Normal	698 - 1560	mg/dL
	12 Years	13 Years	Normal	759 - 1550	mg/dL
	14 Years	15 Years	Normal	716 - 1711	mg/dL
	16 Years	19 Years	Normal	549 - 1584	mg/dL
	20 Years	99 Years	Normal	700 - 1600	mg/dL
MPA Serum IgM
Sex	Age From	Age To	Type	Range	Range Unit
	Days	14 Days	Normal	<= 32	mg/dL
	15 Days	90 Days	Normal	10-67	mg/dL
	91 Days	364 Days	Normal	14-82	mg/dL
	1 Years	3 Years	Normal	19 - 146	mg/dL
	4 Years	6 Years	Normal	24 - 210	mg/dL
	7 Years	9 Years	Normal	31 - 208	mg/dL
	10 Years	11 Years	Normal	31 - 179	mg/dL
	12 Years	13 Years	Normal	35 - 239	mg/dL
	14 Years	15 Years	Normal	15 - 188	mg/dL
	16 Years	19 Years	Normal	23 - 259	mg/dL
	20 Years	99 Years	Normal	40 - 230	mg/dL

Clinical Info

Evaluation of monoclonal gammopathies