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Serum or Plasma Free Light Chain Kappa (Immunoassay)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of free kappa light chains in your blood, which are small protein fragments produced by white blood cells. These fragments can help diagnose conditions affecting the immune system or bone marrow.

Quick summary

["Free kappa light chains may indicate certain blood disorders or immune-related conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
47436-1
Short code
EBV EA IgG Titr Fld
Synonyms
EBV EA IgG Titr Fld
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
8
Ref high
61
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82977
SNOMED
3110003
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 Might Be Ordered

Your healthcare provider may order this test if you have symptoms like fatigue, weight loss, or unexplained infections, or if they suspect conditions such as multiple myeloma, lymphoma, or other blood cancers. It may also be used to monitor treatment progress or check for abnormalities in your immune system.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm to draw blood. If you’re taking blood from a vein in your arm, you might feel a slight pinch, but it usually doesn’t cause discomfort. If you’re concerned about needles, let your healthcare provider know.

What the Test Results Mean

High levels of free kappa light chains can suggest conditions like multiple myeloma or other cancers affecting plasma cells. Low levels may not indicate a problem but could be part of a broader evaluation. Your results will be compared to your healthcare provider’s expectations based on your medical history and symptoms.

Common Conditions Monitored

This test is often used to diagnose or monitor conditions like multiple myeloma, lymphoma, or other hematologic malignancies. It can also help track how well treatments are working or check for hidden signs of immune system disorders.

Reference range

Adult males: 8-61 U/L; Adult females: 5-36 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free Kappa Light Chain

Frequently asked questions

What causes abnormal free kappa light chain levels?
Abnormal levels may be linked to conditions like multiple myeloma, lymphoma, or other blood cancers. They can also result from immune system disorders, infections, or reactions to certain medications. Your healthcare provider will consider your full medical history and symptoms to interpret the results.
How often should I get this test?
The frequency depends on your diagnosis and treatment plan. If you have a condition like multiple myeloma, your provider may order this test regularly to monitor disease progression or response to treatment. Ask your healthcare provider for a personalized schedule.
Can lifestyle changes affect free kappa light chain levels?
While lifestyle factors like diet, exercise, and stress management can impact overall health, they may not directly affect free kappa light chain levels. However, maintaining a healthy lifestyle supports your immune system and overall well-being, which can indirectly benefit your treatment outcomes.
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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 16, 2026. · Read our editorial policy