Infliximab Quantitation w/Reflex to Antibodies, to Infliximab, Serum

Message
For Specimen Integrity during Extreme Weather see the “Lockbox Usage in Extreme Weather” document at the top of this page.


Test Code
INFXR


Alias/See Also
Remicade


CPT Codes
80230, 82397 if appropriate

Preferred Specimen
1 mL serum from a Red Top Tube (SST is NOT acceptable)


Patient Preparation
1. Draw blood immediately before next scheduled dose (trough specimen).
2. For 12 hours before specimen collection do not take multivitamins or dietary supplements containing biotin (vitamin B7), which is commonly found in hair, skin, and nail supplements and multivitamins. 

Minimum Volume
0.5 mL


Instructions
Centrifuge red top within 2 hours of collection. Transfer serum to a pour off tube.


Transport Container
Pour off tube


Transport Temperature
Refrigerated


Specimen Stability
Room Temperature = N/A
Refrigerated = 28 days
Frozen = 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum from a SST, Gross hemolysis, gross icterus


Methodology
Selective Reaction Monitoring Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS),
Electrochemiluminescent Bridging Immunoassay with Acid Dissociation

Setup Schedule
Monday, Wednesday, Thursday, Friday


Report Available
3 - 6 days


Clinical Significance
Trough level quantitation for evaluation of patients with loss of response to infliximab and infliximab-dyyb


Performing Laboratory
Mayo Clinic Laboratories -- Rochester Superior Drive
3050 Superior Drive NW
Rochester, MN 55901


Last Updated: November 19, 2021


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.