THEOPHYLLINE LEVEL

Message
Chemistry


Test Code
LAB35


Alias/See Also
Aminophylline


CPT Codes
80198

Preferred Specimen
Gold top (serum separator tube)


Minimum Volume
Whole blood: 600 uL (TWO full red-top microtainers or one full light green-top microtainer).

Serum/plasma: 300 uL


Other Acceptable Specimens
Red Top and light green top (lithium heparin plasma) acceptable


Instructions
LAB: Serum acceptable.

Separate specimen within 4 hours of collection.
Room Temperature: 7 days
Refrigerated: 7 days.
Frozen: 60 days.


Specimen Stability
Ambient: 7 days
Refrigerated: 7 days.
Frozen: 60 days.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Plasma: Additives that chelate magnesium, such as: EDTA, Citrate, Fluoride oxalate


Report Available
Same day


Reference Range
Therapeutic: 10 - 20 mcg/ml
Toxic: Greater than 35 mcg/ml




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.