Benzodiazepines Panel, Blood

Test Code
23095


CPT Codes
80347 (HCPCS: G0480)

Includes
7-Amino Clonazepam (Clonazepam Metabolite)
Alpha-Hydroxyalprazolam (Alprazolam Metabolite)
Alprazolam (Xanax ®
Chlordiazepoxide (Librium ®)
Clobazam (Urbanyl®)
Clonazepam (Clonopin®)
Desalkylflurazepam (Flurazepam Metabolite)
Diazepam (Valium ®
Estazolam (ProSom ®)
Flurazepam (Dalmane ®)
Hydroxyethylflurazepam (Flurazepam Metabolite)
Hydroxytriazolam (Triazolam Metabolite)
Lorazepam (Ativan ®)
Midazolam (Versed ®
Nordiazepam
Oxazepam (Serax ®)
Temazepam (Restoril ®)
Triazolam (Halcion ®


Preferred Specimen
1 mL whole blood collected in a sodium fluoride/potassium oxalate (gray-top) tube


Minimum Volume
0.3 mL


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


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 14 days


Methodology
Light Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

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: 4 days


Reference Range
See individual analytes


Clinical Significance
Death investigation; criminal/civil investigation; clinical investigation




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.