Valproic Acid, Total and Free

Test Code
VPAQ


Alias/See Also

LAB172



CPT Codes
<p>80164, 80165</p>

Preferred Specimen

Patient Preparation: Collect as a trough just before next dose.  Optimum time to collect sample: 1 hour before next dose.

 

Specimen Type: Serum red

Collection Container/TypeRed top

Submission Container/Tube: Plastic vial

Specimen Volume: 3 mL

Collection Instructions: 

  1. Do not use gel barrier tubes.
  2. Centrifuge and immediately separate serum or plasma specimens from the cells into clean, plastic, screw-cap vial(s).
  3. Do not use serum separator tubes. Submission of a serum separator tube will result in cancellation.

 

Specimen Type: Plasma

Collection Container/TypeLavender top (EDTA)

Submission Container/Tube: Plastic vial

Specimen Volume: 3 mL

Collection Instructions: 

  1. Do not use gel barrier tubes.
  2. Centrifuge and immediately separate serum or plasma specimens from the cells into clean, plastic, screw-cap vial(s).
  3. Do not use serum separator tubes. Submission of a serum separator tube will result in cancellation.


Patient Preparation
Collect as a trough just before next dose.
Optimum time to collect sample: 1 hour before next dose.

Minimum Volume

1.5 mL



Other Acceptable Specimens
Plasma collected in: EDTA (lavender-top) tube


Instructions
Do not use gel barrier tubes. Centrifuge and immediately separate serum or plasma specimens from the cells into clean, plastic, screw-cap vial(s).
Do not use serum separator tubes. Submission of a serum separator tube will result in cancellation.


Transport Container
Plastic screw-cap vial(s)


Transport Temperature
Refrigerated (cold packs)


Specimen Stability

Room temperature: 48 hours


Refrigerated: 7 days


Frozen: 30 days



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Serum Separator Tubes (SST)



Methodology

Immunoassay (IA)



Setup Schedule
Set up: Mon-Sat; Report available: Next day


Report Available

Next day



Reference Range
See Laboratory Report


Clinical Significance
Valproic acid is used as an anticonvulsant to treat certain types of seizures, to prevent migraine headaches, and to treat various psychiatric illnesses such as bipolar disorder and aggression. Drugs that compete for protein-binding sites with Valproic Acid, can increase the concentration of Valproic Acid. Therapeutic drug monitoring is useful to optimize dose. Measurement of the free concentration is useful if toxicity is suspected.


Performing Laboratory
Quest Diagnostics Nichols Institute 14225 Newbrook Drive Chantilly, VA 20153


Last Updated: February 17, 2023


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.