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Test ID FQFKL Kappa and Lambda Free Light Chains (Bence Jones Protein), Quantitative, Urine

Method Name

Qualitative Immunofixation Electrophoresis

 

Quantitative Nephelometry

Reporting Name

Quant Free Kappa/Lambda Light Chains

Specimen Type

Urine

Two 4 mL aliquots from a well mixed 24-hour urine collection. No preservative. Refrigerate specimen during collection. Send specimen refrigerate in 2 plastic, 6 mL tubes. (MML Supply T465).

Note:  1. Keep refrigerate at all times

          2. Total volume and collection time interval required.

Specimen Minimum Volume

4 mL (2 vials 2 mL each)

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 7 days
  Ambient  2 hours

Reference Values

Total Protein:                                     10-140 mg/d

Albumin, Urine:                                 Detected

Alpha-1, Globulins, Urine:                None Detected

Alpha-2, Globulins, Urine:                None Detected

Beta Globulins, Urine:                        None Detected

Gamma, Urine:                                   None Detected

Free Urinary Kappa Light Chains:      0.14-2.42 mg/dL

Free Urinary Kappa Excretion/Day:   by report

Free Urinary Lambda Light Chains:   0.02-0.67 mg/dL

Free Urinary Lambda Excretion/Day: by report

Free Urinary Kappa/Lambda Ratio:    2.04-10.37 (ratio)

IFE Interpretation                                by report

 

Test Information: Total Protein

Total urinary protein is determined nephelometrically by adding the albumin and Kappa and/or Lambda light chains. This value may not agree with the total protein as determined by chemical methods, which characteristically underestimate urinary light chains.

Day(s) Performed

Monday through Friday

Report Available

1 - 5 days

Performing Laboratory

ARUP Laboratories

CPT Code Information

83883/x2 Nephelometry, kappa/lambda

84156/ Total Protein

86335 /Immunofixation electrophoresis; other fluids

NY State Approved

Yes