Skip to content

Protein Electrophoresis (Serum) with Immunofixation (IF) for Monoclonal Gammopathy Screening

Published: August 9, 2026Updated: August 17, 2026

This test measures the proteins in your blood to help identify unusual protein patterns, including potential monoclonal gammopathy (a condition where abnormal proteins, called monoclonal proteins, build up in the blood).

Quick summary

["Helps detect and monitor conditions like multiple myeloma or other monoclonal gammopathies."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
106585-3
Short code
C krusei DNA Fld Ql NAA+n-prb
Synonyms
C krusei DNA Fld Ql NAA+n-prb
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
22
Ref high
198
Critical range
— – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
non-probe-amp-tar
CPT
82553
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like unexplained fatigue, frequent infections, kidney problems, or if they suspect a condition affecting your blood proteins. It’s also used as part of routine screening for certain blood disorders.

What to Expect Before the Test

No special preparation is needed. You’ll typically have a small needle inserted to draw blood from a vein in your arm. The process takes about 5 minutes, and you can resume normal activities afterward.

What the Test Results Mean

The test separates blood proteins into bands (fractions) based on size and charge. Immunofixation adds a step to detect specific monoclonal proteins. Abnormal bands or spikes may indicate conditions like multiple myeloma or benign monoclonal gammopathy.

Common Conditions Monitored

This test helps diagnose or monitor conditions such as multiple myeloma, Waldenström macroglobulinemia, or other monoclonal gammopathies. It may also be used to check for protein abnormalities in chronic kidney disease or other systemic diseases.

Reference range

Adult males: 22-198 U/L; Females: 22-198 U/LN/A

Specimen: serum

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This test is critical for identifying monoclonal proteins in the blood, which can signal serious conditions like multiple myeloma. Early detection improves treatment options and outcomes. Results may guide decisions about further testing, such as bone marrow biopsy or follow-up protein electrophoresis.

Short name

Serum Protein Electrophoresis (IF)

Frequently asked questions

What does an abnormal result mean?
An abnormal result may show unusual protein patterns, including a spike or band that isn’t normally present. This could indicate a monoclonal gammopathy or other blood disorder. Your healthcare provider will discuss the results with you and may recommend additional tests or follow-up.
How often should I get this test?
Frequency depends on your symptoms, medical history, and treatment plan. Your doctor will determine how often you need this test, whether it’s part of routine monitoring or triggered by specific concerns.
Can I eat or drink before this test?
No special diet or fasting is required for this test. You can eat and drink normally before your blood draw.
  1. 1
  2. 2
  3. 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.

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 17, 2026. · Read our editorial policy