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Test ID SMPU Monoclonal Protein Screen, 24 Hour, Urine


Shipping Instructions


Send refrigerated.



Necessary Information


24-Hour volume (in milliliters) is required.



Specimen Required


Supplies: Urine Container, 60 mL (T313)

Submission Container/Tube: Plastic, 60-mL urine bottle

Specimen Volume: 50 mL

Collection Instructions:

1. Collect urine for 24 hours and refrigerate specimen during collection.

2. Aliquot between 30 mL and 50 mL of urine into a plastic, 60-mL urine bottle.

Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens for multiple collections.


Secondary ID

616913

Useful For

Monitoring patients with monoclonal gammopathies

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
PEU Protein Electrophoresis, 24 Hr, U No No

Testing Algorithm

Testing for urine monoclonal proteins (M-proteins) with MASSFIX alone is not considered adequate screening for monoclonal gammopathies.

 

The laboratory will evaluate the urine for M-proteins using the Mayo Clinic MASSFIX method, and if positive for M-protein, protein electrophoresis will be performed at an additional charge.

Specimen Type

Urine

Specimen Stability Information

Specimen Type Temperature Time
Urine Refrigerated (preferred) 14 days
  Frozen  5 days
  Ambient  24 hours

Reject Due To

  All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Reference Values

PROTEIN, TOTAL

<229 mg/24 hours

 

Reference values have not been established for patients younger than 18 years.

 

ELECTROPHORESIS, PROTEIN

The following fractions, if present, will be reported as mg/24 h:

Albumin

Alpha-1-globulin

Alpha-2-globulin

Beta-globulin

Gamma-globulin

 

MASSFIX M-PROTEIN ISOTYPE

M-protein Isotype MS:

No monoclonal protein detected

 

Flag M-protein Isotype MS:

Negative

Day(s) Performed

Monday through Friday

Report Available

4 to 6 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

84156

84166 Electrophoresis, protein (if appropriate)

0077U

Urine Preservative Collection Options

Preservatives must be added or temperature controls applied within 4 hours of completion of the collection.

 

Ambient (no additive)

OK

Refrigerate (no additive)

Preferred

Frozen (no additive)

OK

50% Acetic Acid

No

Boric Acid

No

Diazolidinyl Urea

OK

6M Hydrochloric Acid

No

6M Nitric Acid

No

Sodium Carbonate

No

Toluene

No