Tobramycin, Plasma or Serum

Test Code
1255


CPT Codes
80200

Preferred Specimen
Submit only 1 of the following specimens:

Plasma
Container/Tube: Green-top (heparin) tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of plasma
Collection Instructions: Draw trough specimen 30 minutes before dose and peak specimen 30 minutes after completion of dose. Random level is acceptable.
Note: 1. Dosage time and route of administration are required. 2. Indicate plasma and as peak, trough, or random. 3. Label specimen appropriately (plasma and as peak, trough, or random).

Serum
Container/Tube: Serum gel tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of serum
Collection Instructions: Draw trough specimen 30 minutes before next dose and peak specimen 30 minutes after completion of dose. Random level is acceptable.
Note: 1. Dosage time and route of administration are required. 2. Indicate serum and as peak, trough, or random. 3. Label specimen appropriately (serum and as peak, trough, or random).


Minimum Volume
Pediatric volume: 0.3 mL


Transport Temperature
Refrigerate


Methodology
Particle Enhanced Turbidimetric Inhibition Immunoassay

Setup Schedule
Monday through Sunday


Reference Range
Peak
Therapeutic concentration: 5.0-10.0 µg/mL
Toxic concentration (automatic call-back): >=10.1 µg/mL

Trough
Therapeutic concentration: 0.5-2.0 µg/mL
Toxic concentration (automatic call-back): >=2.1 µg/mL


Clinical Significance
Useful for therapeutic drug monitoring.  


Performed By
CoxHealth



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.