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Protein Electrophoresis, Serum (Free Light Chains)

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

This test measures the levels of free light chains (kappa and lambda) in your serum, which are components of antibodies. These proteins can be elevated in conditions affecting the immune system, blood, or kidneys.

Quick summary

["Free light chains help diagnose and monitor certain blood and immune disorders."]

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

Key facts at a glance

LOINC
42978-7
Short code
PV2 Ab Titr Fld
Synonyms
PV2 Ab Titr Fld
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
86430
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 recommend this test if you have symptoms like fatigue, weight loss, or unexplained infections, or if you have a known condition such as multiple myeloma, lymphoma, or other blood disorders. It may also be used to monitor treatment progress or check for complications like kidney issues.

What to Expect Before the Test

No special preparation is needed for this test. You’ll typically have a small needle inserted into your arm to draw a blood sample. The process is quick and usually painless. If you’re on blood-thinning medication, let your provider know before the test.

What the Results Mean

Results show the concentration of free light chains (kappa and lambda) in your blood. Abnormal levels can indicate conditions like multiple myeloma, amyloidosis, or other immune system or kidney diseases. Your provider will discuss the results with you in the context of your overall health.

Common Conditions Monitored

This test is often used to diagnose or monitor conditions like multiple myeloma (a cancer of plasma cells), lymphoma, or other blood disorders. It can also help assess kidney function or detect hidden protein abnormalities in the blood.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Elevated or Abnormal Free Light Chains

Short name

Free Light Chains Profile

Frequently asked questions

What are the normal ranges for free light chains?
Normal ranges for free light chains can vary by lab and individual. Your healthcare provider will interpret the results based on your specific test values and overall health. Elevated levels may signal underlying conditions that need further evaluation.
How often should I get this test?
The frequency of this test depends on your medical condition and treatment plan. Your provider will determine how often you need follow-up testing based on your symptoms and lab results.
Can lifestyle changes affect free light chain levels?
While diet and lifestyle factors may influence overall protein levels, free light chains are primarily tied to immune system activity and specific diseases. Your provider will consider all relevant factors when interpreting your results.
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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