Lithium

Test Code
LAB29


Alias/See Also
Li concentration


CPT Codes
80178

Preferred Specimen
4.5 ml (3 ml minimum) SST (gold), no additive (red) or EDTA (lavender) whole blood


Minimum Volume
1 ml serum or EDTA plasma


Other Acceptable Specimens
Gold SST


Instructions
Serum or EDTA plasma should be separated from cells within 4 hours of collection.  After centrifugation, if not in gel barrier tube, pour off serum into an aliquot tube


Transport Temperature
Room Temp.


Specimen Stability
Serum or EDTA plasma should be separated from cells within 4 hours of collection.  Separated from cells: 7 days refrigerated


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
High concentrations of ionized calcium; hemolysis, heparinized plasma


Methodology
Ion-Selective Electrode (ISE)

Setup Schedule
Mon- Sun


Reference Range
Therapeutic: 0.5-1.5 mmol/L
Critical: >2.0 mmol/L


Clinical Significance
Lithium is widely used in the treatment of manic depressive psychosis.


Performing Laboratory
Piedmont Athens Regional



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.