Understanding Your Laboratory Test: What It Is, Why Your Doctor Ordered It, and How the Procedure Works
This test analyzes the proteins in your urine to detect abnormal protein bands that may indicate kidney problems or blood cell disorders.
{"A simple urine test that separates and identifies different protein types","Helps diagnose conditions like multiple myeloma and kidney disease","Results show if abnormal proteins are present in your urine","No special preparation is needed beyond collecting a clean urine sample","Abnormal results may require additional testing to determine the cause"}
Key facts at a glance
- LOINC
- 50408-4
- Short code
- UPEP
- Synonyms
- Abn Prot MFr Ur Elph
- Category
- chemistry
- Sample
- urine
- Container
- Clean-catch urine container, sterile polypropylene container
- Units
- N/A
- Ref low
- 0
- Ref high
- 100
- Critical range
- 7.2 N/A – 7.6 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 0–120 years
- Method
- electrophoresis
- CPT
- 82044
- SNOMED
- 314632009
- Specimen volume
- 10-50 mL of urine
- Stability
- Room temperature: 24 hours; Refrigerated (2-8°C): 72 hours; Frozen (-20°C): 2 weeks. Avoid repeated freeze-thaw cycles.
- Hemolysis max
- 0
- Lipemia max
- 0
- Icterus max
- 0
- TAT
- 48–96 hours
- Order
- routine
This is a laboratory test performed on a sample collected from your body, most often blood, urine, or another type of tissue. Your healthcare provider uses the results to evaluate how well certain organs are functioning, look for signs of infection or disease, and gather important information about your overall health and body chemistry.
Urine protein electrophoresis (UPEP) is a laboratory test that separates the different proteins in your urine to identify abnormal protein bands. Normally, urine contains very small amounts of protein. When abnormal proteins or increased amounts of protein are found in urine, it may indicate an underlying health condition. The test uses an electrical current to separate proteins based on their size and electrical charge, creating a pattern that healthcare providers can analyze.
Your doctor may order this test to help find the cause of symptoms you are experiencing, screen for a medical condition before symptoms develop, monitor an illness you already know you have, or check how well a current treatment is working. The results help guide decisions about your diagnosis and ongoing care plan.
This test is typically ordered when a routine urine test shows high protein levels (proteinuria). It helps determine the source and type of protein causing the abnormality. The test is particularly useful for detecting proteins produced by abnormal plasma cells, such as in multiple myeloma, or for identifying kidney disorders that affect protein filtration.
The test is usually performed by collecting a small sample in a clinic, hospital, or laboratory setting. For a blood test, a trained technician cleans the skin on your arm, wraps a band around your upper arm, and draws a small amount of blood into a tube using a thin needle. The sample is then sent to a laboratory for analysis, and your results are typically available within a few days.
You will provide a urine sample, usually collected in a sterile container. For the most accurate results, a first-morning sample is often preferred as it is more concentrated. The laboratory then applies the urine to a special gel and applies an electrical current to separate the proteins. The resulting pattern is compared to normal patterns to identify any abnormal bands.
Reference range
Normal: <100 pg/mLN/A
No fasting required. Collect a clean-catch, midstream urine sample. Inform patient to avoid strenuous exercise 24 hours before collection as this may cause transient proteinuria. Collect first morning specimen preferred for most accurate results.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
The presence of abnormal protein bands in urine can indicate several conditions. In multiple myeloma, abnormal plasma cells produce monoclonal proteins (M-proteins) that can appear as distinct bands. Kidney diseases that affect the filtration mechanism may cause increased levels of proteins like albumin or beta-2 microglobulin. Certain immune disorders and chronic inflammatory conditions may also produce characteristic protein patterns. The specific type and pattern of abnormal proteins helps healthcare providers narrow down the possible causes and guide further diagnostic testing.
Results are interpreted in conjunction with other laboratory findings and clinical symptoms. A normal result shows minimal protein with no abnormal bands. An abnormal result with monoclonal protein bands typically requires follow-up testing, which may include serum protein electrophoresis, immunofixation, and imaging studies to confirm a diagnosis.
Frequently asked questions
Does this test hurt?
Do I need to fast before the test?
How long does it take to get results?
What does it mean if I have protein in my urine?
Will I need additional tests if my results are abnormal?
Sources
- 1
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy