Mirtazapine, Serum/Plasma [30348X]

Test Code
12210

CPT Codes
80299

Preferred Specimen
3 mL serum collected in a red-top tube (no gel)

Minimum Volume
1.2 mL

Other Acceptable Specimens
Plasma collected in EDTA (lavender-top) tube

Instructions
The use of (SS, serum separator tube) is not acceptable. Submission of an (SS) tube will result in cancellation.

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 7 days
Refrigerated: 14 days
Frozen: 14 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum separator tube (SST®)

Methodology
Gas Chromatography (GC)

Setup Schedule
Set up: Daily a.m.; Report available: 4 days

Reference Range
See Laboratory Report

Performing Laboratory

National Medical Services
3701 Welsh Rd
Willow Grove, PA 19090





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.