Vancomycin, Peak, Plasma or Serum

Test Code

VANCOP - NOCO

CPT Codes
80202

Preferred Specimen

1 mL plasma from Green top (Lithium Heparin)

Minimum Volume

0.5 mL
Note: For neonate requirements see Neonate Minimum Blood Volumes

Other Acceptable Specimens

1 ml serum from Serum Gel or Red Top

Instructions

Blood for a peak level should be drawn 60 minutes after completion of infusion of an intravenous dose or 60-90 minutes after an intramuscular dose of vancomycin.
Indicate exact time drug was started, exact time infusion was completed in label comments (i.e. IV 1200 /1230). If the drug will be administered by intramuscular injection, indicate time of injection in label comments (i.e. IM 1300).

Specimen Stability

Specimen Type	Temperature	Time
Plasma Li Hep	Refrigerated	2 days
Serum SST	Refrigerated	2 days
Red Top – Separated*	Refrigerated	2 days

*Centrifuge and aliquot into a plastic vial.

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

Gross hemolysis

Methodology
Bichromatic Turbidimetric Rate - Particle Enhanced Turbidimetric Inhibition Immunassay (PETENIA)

Setup Schedule

Monday through Sunday; Continuously

Report Available

Same day

Reference Range

20.0 - 60.0 µg/mL
Critical value (automatic call-back): >60.0 µg/mL

Performing Laboratory
Banner Fort Collins Medical Center Laboratory
McKee Medical Center Laboratory
North Colorado Medical Center Laboratory

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.