Serum Free Light Chain Immunoassay (kappa and lambda)
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.
["Assessing free light chains helps diagnose and monitor certain blood disorders."]
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?
What does it mean if my free light chain levels are high?
Can diet or medications affect this test?
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