Theophylline

Test Code
THEO


Preferred Specimen
1 mL serum


Patient Preparation
Collect as a trough just prior to next dose

Minimum Volume
0.2 mL


Other Acceptable Specimens
Heparinized plasma


Transport Container
Original collection vial


Transport Temperature
Refrigerated (cool packs)


Specimen Stability
 Refrigerated: 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Anticoagulants other than heparin


Methodology
Immunoassay (IA)

Setup Schedule
24/7


Report Available
Same day


Reference Range
10-20 ug/mL
Toxic: >25 ug/mL


Clinical Significance
Theophylline is used in the treatment of bronchial asthma as well as in the treatment of chronic obstructive pulmonary disease and episodes of prolonged apnea in pre-term infants. Theophylline levels are monitored to assure adequate therapeutic levels are achieved and to avoid toxicity.




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.