Valproic Acid Level

Test Code
VALP


Alias/See Also
Depakene, Depakote


CPT Codes
80164

Preferred Specimen
Plasma Light GREEN (PST)


Other Acceptable Specimens
Serum (RED) or GOLD (SST)
Plasma EDTA (LAV), Heparin (GRN)


Instructions
To obtain a serum valproic acid concentration that best represents the peak tissue level, draw the sample 1 to 3 hours after a dose is given. Collect a trough sample just before the next scheduled dose.


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 1 year. 


Methodology
Beckman AU

Setup Schedule
24x7


Report Available
24x7


Limitations
AMR:  10-750 ug/mL


Reference Range
Theraueutic Range:   50.0-100.0 ug/mL;  Critical:  > 150.0 ug/mL


Clinical Significance

Valproic Acid (also known as Depakene or Depakote) is an anti-convulsant or anti-seizure medication chemically related to most other anti-convulsants.
 
Monitoring valproic acid concentrations in serum helps to individualize drug therapy for safe and effective control of absence seizures, other generalized seizures, and partial seizures. Serum valproic acid monitoring is useful for assessing patient compliance, or to explain changes in seizure control or drug toxicity.
 
Achieving and maintaining therapeutic concentrations of serum valproic acid concentrations is difficult due to marked inter- and intra-patient variability in pharmacokinetics. The pharmacokinetics of valproic acid may be altered by age, pregnancy, renal failure, liver dysfunction, other drugs, low albumin, and other factors.




Performing Laboratory
CRMC 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.