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Serum Free Light Chain Immunoassay (kappa and lambda)

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

This test measures the levels of free light chains (kappa and lambda) in your blood, which are small protein fragments produced by plasma cells. These fragments can help identify conditions affecting the immune system or blood cells.

Quick summary

["Assessing free light chains helps diagnose and monitor certain blood disorders."]

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

Key facts at a glance

LOINC
33120-7
Short code
GA from OFD.Hansmann86
Synonyms
GA from OFD.Hansmann86
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-estimated-from-ofd-hansmann
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 to investigate symptoms like fatigue, weight loss, or unexplained infections. It’s also used to monitor conditions such as multiple myeloma, lymphoma, or other plasma cell disorders. Free light chains can be elevated when plasma cells produce too many of these fragments, which may indicate an underlying issue.

How the Test Works

Blood is drawn from a vein, typically in your arm. The sample is then sent to a lab where it’s analyzed using an immunoassay method to detect and measure the kappa and lambda light chains separately. This helps determine if levels are abnormal.

Sample Collection and Preparation

The test requires a simple blood draw. You may feel slight discomfort, but it usually takes a few minutes. Your provider will explain the process and ensure you’re comfortable. Avoid eating or drinking for a short time before the test if instructed.

What to Expect After the Test

After the blood draw, you can return to your normal activities immediately. You may experience mild bruising or soreness at the site, but this typically resolves quickly. Follow any specific instructions your provider gives you for post-test care.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated levels of free light chains can signal conditions like multiple myeloma, where plasma cells become abnormal and produce too many light chains. Uneven levels (one type higher than the other) may also indicate certain immune system disorders. Your provider will use these results alongside other tests and symptoms to guide diagnosis and treatment.

Short name

Free light chain test

Frequently asked questions

How long does it take to get results from this test?
Results are usually available within 1 to 3 business days, depending on your lab’s processing times. Your healthcare provider will contact you directly with your results.
What does it mean if my free light chain levels are high?
High levels may suggest an underlying condition affecting plasma cells, such as multiple myeloma or lymphoma. Your provider will discuss the results with you and may recommend further testing or monitoring to determine the cause.
Can diet or medications affect this test?
Generally, diet or over-the-counter medications do not significantly affect free light chain levels. However, if you’re on long-term treatments like chemotherapy or steroids, your provider may advise timing your test around these medications for consistency.
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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