Oxcarbazepine Metabolite Level

Message
Sendout, Mayo test code: OMHC


Test Code
LAB484


Alias/See Also
10-Hydroxy-10,11-Dihydrocarbamazepine (Metabolite of Oxcarbazepine)
10-Hydroxycarbazepine
MHC (Oxcarbazepine Metabolite)
MHD (Oxcarbazepine Metabolite)
Monohydroxy Carbamazepine
Oxcarbazepine Metabolite (MHC)
Trileptal (Oxcarbazepine)
OMHC


CPT Codes
80183

Preferred Specimen
1 mL serum collected in a red tube.  Serum separator tube (SST) is not acceptable.


Minimum Volume
0.5 mL


Instructions
1. Collect specimen 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?)
Gross hemolysis: OK
Gross lipemia: OK
Gross icterus: OK
Serum Separator Tube (SST)


Methodology
High-Turbulence Liquid Chromatography Mass Spectrometry (HTLC-MS/MS)

FDA Status
Approved

Setup Schedule
Monday through Saturday


Report Available
1-3 days


Limitations
Toxic levels have not been well established.
 
This test cannot be performed on whole blood. Serum must be separated from cells within 2 hours of collection.


Reference Range
Included with report


Clinical Significance
Monitoring serum concentration during oxcarbazepine therapy
 
Assessing compliance
 
Assessing potential toxicity


Performing Laboratory
Mayo Clinic Laboratories, Rochester, Minnesota

Additional Information
Oxcarbazepine Metabolite, 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.