Primidone, Phenobarbital and PEMA, Serum/Plasma (4415X)

Test Code
4415N


CPT Codes
80184, 80188

Includes
Primidone, Phenobarbital, Phenylethylmalonamide (PEMA)


Preferred Specimen
1 mL serum collected in a red-top tube (no gel) or plasma collected in an EDTA (lavender-top) or (pink-top) tube


Minimum Volume
0.2 mL


Instructions
Promptly centrifuge and separate serum or plasma into a plastic screw capped vial using approved guidelines


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 days
Refrigerated: 14 days
Frozen: 18 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum Separator Tube (SST®) • Polymer gel separation tube


Methodology
High Performance Liquid Chromatography (HPLC)

Setup Schedule
Set up: As needed; Report available: 8 days


Clinical Significance
Therapeutic drug monitoring.




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.