VANCOMYCIN, TROUGH

Test Code

VANT

CPT Codes
80202

Preferred Specimen

Red Tube

Patient Preparation
Ideal steady state is 20 - 30 hours after initial dose. I.V. infusion should be over 60 minutes (but rarely longer than 120 minutes).

Trough measurements should be collected <30 minutes before the next dose.

Minimum Volume

1 mL

Other Acceptable Specimens

Green Tube (Lithium Heparin)

Instructions

Centrifuge for complete separation of serum or plasma from red cells.

Transport Container

RED Tube

Transport Temperature

Room Temperature

Specimen Stability

2-8°C up to 7 days

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

Hemolysis

Methodology
EIA

Setup Schedule

DAILY, as received

Report Available

STAT: <60 minutes
Routine: <4 hours

Reference Range

Male/Female All Ages: Normal Range: 10.0-20.0 ug/ml Critical High : >=20.0 ug/ml

Clinical Significance

Vancomycin is an antibiotic used in the treatment of bacterial infections, especially methicillin-resistant staphylococci. Vancomycin is also used in treatment for penicillin-allergic patients who cannot receive or have failed to respond to other drugs, including the penicillins and/or cephalosporins. Therapeutic drug monitoring is useful to optimize dose and detect the toxicity.

Performing Laboratory
Mount Sinai Hospital
Holy Cross Hospital

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.