Phenytoin Level, Phenytoin Total, Dilantin Total

Message
Draw a sample within two to four hours after an intravenous loading dose and, at steady-state, collect a specimen representing the trough level just before the next scheduled dose.


Test Code
DILAN


Alias/See Also
Dilantin Level


CPT Codes
80185

Preferred Specimen
Light GREEN (PST)


Patient Preparation
Draw a sample within two to four hours after an intravenous loading dose and, at steady-state, collect a specimen representing the trough level just before the next scheduled dose.

Other Acceptable Specimens
Serum RED (Red), Gold (SST), Orange (OJ), or Tiger Top Serum
Plasma Purple (LAV)-EDTA; Green Lithium Heparin
 


Specimen Stability
Sample Stability:
  • Refrigerator Temperature:  Store the serum or plasma refrigerated at 2-8°C. for up to one month.
  • Freezer Temperature:  Store serum or plasma frozen (≤-20°C) for up to 3 months. 


Methodology
Beckman AU

Setup Schedule
24x7


Report Available
24x7


Reference Range
Reference Range:  0-12 months: 8.0-15.0 ug/mL;  Critical: >30.0 ug/mL
Reference Range:  12 month-Adult: 10.0-20.0 ug/mL; Critical: >30.0 ug/mL


Clinical Significance
Phenytoin is used in the treatment of primary or secondary generalized tonic-clonic seizures (whole brain seizures), simple partial (focal cortical seizures), or complex partial seizures (temporal lobe seizures), and epilepsy.


Performing Laboratory
CRMC Laboratory
CCMC Laboratory



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.