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Serum or Plasma Free Light Chain Immunoassay (Quantitative)

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

This test measures the levels of free light chains (a component of antibodies) in your blood, which can help diagnose conditions affecting the immune system or blood cells.

Quick summary

["Free light chains help identify certain blood disorders or immune system issues by detecting abnormal protein fragments in your bloodstream."]

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

Key facts at a glance

LOINC
7318-9
Short code
Flounder BasoBnd Ab Qn
Synonyms
Flounder BasoBnd Ab Qn
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
lhr
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like fatigue, weight loss, or unexplained infections, or if you have a history of conditions such as multiple myeloma, lymphoma, or other blood disorders. It may also be used to monitor treatment progress or detect early signs of certain diseases.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if it involves drawing blood from a vein. Avoid smoking or consuming alcohol for the same period if instructed.

How the Test Is Performed

A healthcare professional will draw blood from a vein in your arm using a small needle. You may feel a brief pinch, but the procedure is quick and typically painless. The blood sample is then sent to a lab for analysis using an immunoassay method to measure free light chains.

What the Results Mean

Results are compared to a baseline or reference range provided by your lab. Elevated levels may suggest conditions like multiple myeloma, lymphoma, or other immune-related disorders, while abnormal ratios (kappa/lambda) can help diagnose monoclonal gammopathies.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free Light Chain Test

Frequently asked questions

What causes abnormal free light chain levels?
Abnormal free light chain levels can result from conditions like multiple myeloma, lymphoma, or other plasma cell disorders. They may also appear in people with kidney disease, infections, or autoimmune disorders. Stress, certain medications, or other systemic illnesses can sometimes affect these levels, though less commonly.
How often should I get this test?
The frequency of testing depends on your medical condition and treatment plan. If you have a known blood disorder, your doctor may recommend regular monitoring. If this test is part of a screening or routine check, follow your healthcare provider’s instructions for timing and intervals.
Can I eat or drink before this test?
For blood draws, you may need to fast for 8–12 hours before the test unless your doctor specifies otherwise. Avoid alcohol and smoking during this period to ensure accurate results. Always check with your provider for specific guidelines tailored to your situation.
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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