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Serum Free Salivary Monoclonal Protein Concentration

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

This test measures the amount of a specific protein (monoclonal) found only in your saliva, excluding any proteins bound to other substances. It helps identify unusual protein patterns that may indicate conditions like certain cancers or immune system disorders.

Quick summary

["This test helps detect abnormal protein production that may signal underlying health concerns."]

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

Key facts at a glance

LOINC
19206-2
Short code
PSA Free Smn-sCnc
Synonyms
PSA Free Smn-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
4
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84153
SNOMED
39392002
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 Is This Test Done?

Your healthcare provider may order this test if you have symptoms like persistent mouth sores, unexplained weight loss, or a history of conditions such as multiple myeloma or lymphoma. It may also be used as part of a broader evaluation for certain autoimmune diseases or to monitor treatment responses.

What Does the Test Involve?

You will provide a saliva sample, typically collected by gently rolling a cotton swab in your mouth for a few seconds. The sample is then sent to a lab for analysis. No fasting is required.

What Are Possible Results?

Results are interpreted based on the concentration of the specific monoclonal protein detected. Abnormal levels may suggest conditions requiring further medical evaluation.

What Does It Mean If Results Are Abnormal?

Abnormal results may indicate the presence of a monoclonal protein that could be linked to conditions such as plasma cell dyscrasias (e.g., multiple myeloma) or other systemic diseases. Your doctor will discuss these findings with you and may recommend additional tests or treatments.

Reference range

Normal: <4.0 ng/mLN/A

Specimen: serum

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free monoclonal protein in saliva

Frequently asked questions

What preparation do I need before the test?
No special preparation is needed. You can eat, drink, or take medications as usual on the day of the test. Avoid using mouthwash with alcohol or strong flavors before collecting the sample.
How long will it take to get my results?
Results are typically available within a few days to a couple of weeks, depending on lab processing times. Your healthcare provider will contact you once the results are ready.
Can I have a follow-up test if my results are abnormal?
Yes, if your results are abnormal, your healthcare provider may recommend further testing, such as blood tests, imaging studies, or additional saliva samples, to better understand the cause and guide treatment options.
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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