Hydroxychloroquine, Serum/Plasma

Test Code
30095


CPT Codes
80220

Preferred Specimen
1 mL serum collected in a red-top tube (preservative free)


Minimum Volume
0.4 mL


Other Acceptable Specimens
Plasma collected in: EDTA (lavender-top) tube or EDTA (pink-top) tube


Instructions
Promptly centrifuge and separate serum or plasma into a plastic screw-capped vial


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 30 days
Refrigerated: 30 days
Frozen: 12 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Polymer gel separation tube (SST or PST)


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

Setup Schedule
Set up: Varies; Report available: 7 days




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.