Protein Electrophoresis Panel, Serum or Plasma, with Immunofixation
This panel separates the proteins in a blood sample by electrical charge and then uses a targeted follow-up test (immunofixation) to identify specific abnormal proteins if any are seen. It is used mainly to look for unusual antibody proteins that can occur in certain blood disorders.
["The test helps your care team detect and identify abnormal proteins in the blood, especially patterns seen in conditions affecting antibody-producing cells."]
Key facts at a glance
- LOINC
- 111901-5
- Short code
- Cmp pr rte prc rsd phys Endscpy
- Synonyms
- Cmp pr rte prc rsd phys Endscpy
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- endoscopy
- 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
What This Test Measures
A blood sample is processed so its proteins are sorted into bands by an electrical field, a technique called electrophoresis. The pattern of bands shows the relative amounts of albumin and the various globulin proteins. If a band looks unusual, a second technique called immunofixation is used to identify which type of antibody protein it is.
Why Your Clinician May Order It
The panel is commonly ordered when a person has symptoms or lab findings that could point to an abnormal antibody protein, such as unexplained anemia, high blood calcium, kidney problems, frequent infections, or nerve symptoms. It may also be used to monitor a known condition over time or to help investigate an unusual total protein or globulin result.
How the Sample Is Collected
A routine blood draw from a vein in your arm is used. No special preparation is usually required, although your clinician will tell you if any medications or timing considerations apply. Tell your care team about medicines you take and any recent treatments, such as antibody therapies, that could affect the results.
Understanding the Results
Your report describes the protein pattern and, if needed, the type of abnormal protein found. Results are interpreted together with your symptoms, physical exam, and other laboratory tests. A normal pattern is reassuring, but an abnormal result does not by itself confirm a diagnosis; your clinician will explain what the findings mean for you. Reference ranges vary by laboratory.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
SPEP with Immunofixation
Frequently asked questions
Does this test diagnose cancer on its own?
Do I need to fast before this blood draw?
Can medicines or treatments affect the results?
Sources
- 1
- 2Lab Tests OnlineSource
- 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