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Serum or Plasma Substance Concentration by Immunoassay (for a specific protein marker)

Published: August 9, 2026Updated: August 14, 2026

This test measures the amount of a particular protein in your blood, often used to detect or monitor certain conditions affecting the immune system or organs.

Quick summary

["Helps identify or track protein-related health issues with a simple blood draw."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 14, 2026Editorial policy

Key facts at a glance

LOINC
25587-7
Short code
CGA
Synonyms
CgA SerPl-sCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube; plasma may be collected in EDTA or heparin tubes depending on assay requirements
Units
N/A
Ref low
0
Ref high
93
Fasting
false
Population
adult
Sex
all
Age range
18–99 years
Method
Enzyme-Linked Immunosorbent Assay (ELISA) or Chemiluminescent Immunoassay (CLIA)
CPT
86316
SNOMED
104656006
Specimen volume
1.0 mL of serum or plasma
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 48 hours; Frozen (-20°C or below): 3 months; avoid repeated freeze-thaw cycles
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like unexplained fatigue, weight changes, or organ issues (e.g., liver, kidney). It could also be part of routine monitoring for conditions like autoimmune diseases, infections, or certain cancers.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if it involves a fasting sample. Wear comfortable clothing and plan for a short visit to a lab or clinic.

During the Test

A healthcare professional will draw blood from a vein in your arm. You may feel a slight pinch, but it only takes a few minutes. The blood is then sent to a lab for analysis using an immunoassay method to detect and measure the protein.

What the Results Mean

Results show the concentration of the protein in your blood. Elevated or low levels may signal underlying health concerns, but interpretation depends on your symptoms, medical history, and other test results.

Reference range

Reference range is typically < 93 ng/mL (or < 20 nmol/L when reported in SI units); values may vary by laboratory and assay manufacturerN/A

Specimen: serum

No special patient preparation required. Fasting is not necessary. Patients taking proton pump inhibitors (PPIs) should discontinue use for 1-2 weeks prior to testing if possible, as PPIs can falsely elevate Chromogranin A levels.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test plays a key role in diagnosing or managing conditions like chronic inflammation, organ dysfunction, or immune system disorders. For example, it might help confirm a diagnosis of a rare protein-related disorder or assess how well a treatment is working.

Short name

Protein Marker Screening

Frequently asked questions

What does a ‘positive’ or ‘abnormal’ result mean?
An abnormal result doesn’t always mean you have a problem—it may indicate a need for further testing or additional information, such as other symptoms or tests. Your provider will discuss the results with you and explain next steps.
Can I eat or drink before this test?
Check with your provider about fasting requirements, but generally, you can eat and drink normally unless instructed otherwise. Some tests require fasting for accuracy.
How often will I need this test?
Frequency depends on your health condition and treatment plan. Your provider will outline a schedule based on your specific needs, such as monthly, quarterly, or as needed.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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 14, 2026. · Read our editorial policy