Topiramate Level

Message
Sendout, Mayo test code:TOPI


Test Code
LAB498


Alias/See Also
Topiramate (Topamax)
Topamax (Topiramate)
TOPI


CPT Codes
80201

Preferred Specimen
1 ml serum from a red tube.  SERUM GEL TUBE IS UNACCEPTABLE.


Minimum Volume
0.5 mL


Instructions
1. Draw blood immediately before next scheduled dose.
2. Centrifuge and aliquot serum into plastic vial; within 2 hours of collection.


Transport Container
Plastic vial


Transport Temperature
Refrigerated


Specimen Stability
Refrigerated (preferred): 28 days
Ambient: 28 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis: Mild OK; Gross OK
Lipemia: Mild OK; Gross OK
Icterus: Mild OK; Gross OK
Other Serum gel tube, whole blood


Methodology
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

FDA Status
Approved

Setup Schedule
Monday through Friday


Report Available
1-2 days


Limitations
This test cannot be performed on whole blood.


Reference Range
Included with report


Clinical Significance
Monitoring serum concentrations of topiramate
 
Assessing compliance
 
Assessing potential toxicity


Performing Laboratory
Mayo Clinic Laboratories, Rochester, Minnesota

Additional Information
Topiramate, Serum


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.