Benzodiazepines Panel, Blood [23095X]

Test Code
23095

CPT Codes
80347 (HCPCS: G0480)

Includes
7-Amino Clonazepam (Clonazepam Metabolite)
Alpha-Hydroxyalprazolam (Alprazolam Metabolite)
Alprazolam (Xanax ®
Chlordiazepoxide (Librium ®)
Clobazam (Urbanyl®)
Clonazepam (Clonopin®)
Desalkylflurazepam (Flurazepam Metabolite)
Diazepam (Valium ®
Estazolam (ProSom ®)
Flurazepam (Dalmane ®)
Hydroxyethylflurazepam (Flurazepam Metabolite)
Hydroxytriazolam (Triazolam Metabolite)
Lorazepam (Ativan ®)
Midazolam (Versed ®
Nordiazepam
Oxazepam (Serax ®)
Temazepam (Restoril ®)
Triazolam (Halcion ®

Preferred Specimen
1 mL whole blood collected in an EDTA (lavender-top) tube

Minimum Volume
0.4 mL

Transport Temperature
Room temperature

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

Methodology
Light Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Setup Schedule
Set up: Mon, Wed, Fri a.m.; Report available: 5 days

Reference Range
See individual analytes

Clinical Significance
Death investigation; criminal/civil investigation; clinical investigation

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.