Diuretics Panel, Serum/Plasma

Test Code

30963

CPT Codes
80375 (HCPCS: G0480)

Includes

Chlorothiazide (Diuril), Hydrochlorothiazide, Furosemide (Lasix)

Preferred Specimen

1 mL serum collected in a red-top tube (no gel)

Minimum Volume

0.4 mL

Other Acceptable Specimens

Plasma collected in: EDTA (lavender-top) tube or EDTA (pink-top) tube

Instructions

Promptly centrifuge and separate serum or plasma into a plastic, preservative-free, screw-capped vial(s) using approved guidelines.
The use of serum separator tubes is not acceptable. Submission of a serum separator tube will result in cancellation.

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 7 days
Refrigerated: 30 days
Frozen: 2 years

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

Polymer gel separation tube (SST or PST)

Methodology
High Performance Liquid Chromatography (HPLC)

FDA Status
This test was developed and its performance characteristics determined by NMS Labs. It has not been cleared or approved by the US Food and Drug Administration.

Setup Schedule

Set up: As needed; Report available: 8 days

Report Available

4 Days

Reference Range

See Laboratory Report

Clinical Significance

Therapeutic drug monitoring

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.