Topiramate : 30965

Test Code
TOPIRE or 30965


CPT Codes
80201

Instructions
Draw at peak (2-4 hours after dose) or trough (0.5-1 hour before dose) at steady state


Transport Container
Preferred Specimens
1 mL serum collected in a red top tube (no gel) or no additive (royal blue-top) tube or 1 mL plasma collected in a lithium heparin (green-top) tube
  
Alternative Specimens
Plasma collected in: Sodium heparin lead-free (tan-top) tube or sodium heparin (green-top) tube
  
Minimum Volume
0.5 mL


Transport Temperature
Room temperature.


Specimen Stability
Room temperature: 7 days; Refrigerated: 14 days; Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gel barrier/Serum Separator Tube (SST®)


Methodology
Chromatography/Mass Spectrometry

Setup Schedule
Tuesday - Saturday


Report Available
2-4 days


Reference Range
Dose (mg)         Peak (mcg/mL)      Trough (mcg/mL)


100                   6.5-9.2                    4.5-6.6


200                   12.0-16.0                8.0-12.0


400                   20.0-30.0                14.0-20.0



Clinical Significance
Topiramate is an anticonvulsant used as an adjunctive treatment of partial-onset epilepsy. Therapeutic drug monitoring is useful to optimize dose and avoid toxicity.


Performing Laboratory
med fusion



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.