VANCOMYCIN, RANDOM

Test Code

LAB40

CPT Codes
80202

Preferred Specimen

Adult: One 6 mL red top tube
Pediatric: One red top microtainer

Other Acceptable Specimens

One dark green top tube

Instructions

Specify dosage history, whether peak or trough. Time drawn must be written on label.
Sample must be centrifuged within two hours of collection. Serum/plasma (red or dark green top tube) must be removed from the red cells and put into aliquot tubes following centrifugation.

Transport Temperature

Refrigerated

Specimen Stability

Unstable, centrifuge within two hours of collection
Ambient: 3 days
Refrigerated: 7 days
Frozen: 14 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Samples drawn in a tube with a separator gel will be rejected. The separator gel may cause falsely lower results.

Methodology
Immunoturbidimetric

Setup Schedule

Sunday-Saturday

Reference Range

Reference Range: 30-40 ug/mL
Toxic (critical) level: ≥60.1 ug/mL

Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Fairmont Medical Center
Garrett Regional Medical Center
Harrison Community Hospital
Jackson General Hospital
Jefferson Medical Center
Princeton Community Hospital
Potomac Valley Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hospital Center
Uniontown Hospital
Wetzel County Hospital
Wheeling Hospital

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.