Midazolam, Blood [3139X]

Test Code
65241

CPT Codes
80346

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

Minimum Volume
1.2 mL

Instructions
Promptly centrifuge and separate serum or plasma into a plastic, screw-capped vial, using approved guidelines.
Rejection Criterion:
Polymer gel separation tube (SST or PST).

Transport Container

Plastic screw cap vial



Transport Temperature
Refrigerated (cold packs)

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

Methodology
Liquid Chromatography/Tandem Mass Sprectrometry (LC/MS/MS)

Setup Schedule
Set up: Mon-Sat a.m.; Report available: 5 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.