Theophylline

Message
Performed in Chemistry
Performed at SQL for BCGMC, Page, BCCH, WMC, BPMC, TCH, BBMC, OCH, PCMH, EMCH, SRMC, WyMC, MMC, BFCMC, NCMC.


Test Code
THEO


CPT Codes
80198

Preferred Specimen
Green LiHep, Plasma for facilities performing on site.
 


Other Acceptable Specimens
Red top, serum


Instructions
For facilities sending to Sonora Quest Laboratories, see link below for specimen details, methodology, setup schedule and reference ranges.


Specimen Stability
Refrigerated - 7 days
Frozen - 60 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Collected in an outdated/expired tube
Hemolyzed, icteric or lipemic
Contaminated


FDA Status
FDA Approved

Setup Schedule
Daily, Sunday through Saturday
 


Report Available
Less than 4 hours


Clinical Significance
Theophylline (1,3-dimethylxanthine), a bronchodilator, is widely used to treat patients with asthma, apnea (temporary asphyxia), and other obstructive lung diseases.  Monitoring of theophylline concentrations in serum is essential, since indicviduals can vary in their rates of theophylline clearance 1,2 and severe toxicity has been observed without prior occurrence of minor side effects. 3 Moreover, several factors can alter theophylline elimination.  Theophylline elimination is slowed in obese patients, patients with hepatic disease, and in those on a high carbohydrate, low protein diet.  Premature infants have very low rates of theophylline elimination.  4 Conversely, theophylline elimination is more rapid among cigarette smokers. 5 In combination with other clinical data, monitoring serum theophylline levels may provide the physician with useful information to aid in adjusting patient dosage to achieve optmal therapeutic effect while avoiding drug toxicity.
 


Additional Information
Theophylline


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.