Zonisamide Level

Message
Sendout, Mayo test code: ZONI


Test Code
LAB504


Alias/See Also
Zonisamide (Zonegran)
ZONI


CPT Codes
80203

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


Minimum Volume
0.5 mL


Instructions
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, SST


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

FDA Status
Approved

Setup Schedule
Monday through Saturday


Report Available
1-5 days


Limitations
Rufinamide is a known interference of this assay. Patients who are coadministered zonisamide and rufinamide may have falsely elevated and uninterpretable zonisamide concentrations reported by this assay.


Reference Range
Included with report


Clinical Significance
Monitoring zonisamide therapy; recommended for all patients to ensure appropriate dosing
 
Assessing medication compliance


Performing Laboratory
Mayo Clinic Laboratories, Rochester, Minnesota

Additional Information
Zonisamide, 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.