Phenytoin

Test Code

713

CPT Codes
80185

Preferred Specimen

1 mL serum collected in a red-top tube (no gel)

Patient Preparation
Collect as a trough just prior to next dose. For patients receiving fosphenytoin therapy, collect as a trough at least 2 hours after IV infusion or at least 4 hours after IM injection.

Minimum Volume

0.2 mL

Other Acceptable Specimens

Plasma collected in: Sodium heparin (green-top) tube, lithium heparin (green-top) tube, or EDTA (lavender-top) tube

Transport Container

Transport tube

Transport Temperature

Room temperature

Specimen Stability

Room temperature: 5 days
Refrigerated: 10 days
Frozen: 30 days

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

Serum separator tube (SST)

Methodology
Immunoassay (IA)

Setup Schedule

Mon-sat

Report Available

1-3 days

Reference Range

10.0-20.0 mg/L

Clinical Significance

Phenytoin is an anticonvulsant hydantoin used for the treatment of generalized tonic-clonic (grand mal) and complex partial seizures. Phenytoin is also used for prophylaxis in neurosurgical procedures. Phenytoin levels are monitored to assure adequate therapeutic levels are achieved and to avoid toxicity.

Performing Laboratory

Quest Diagnostics-Lenexa

10101 Renner Blvd

Lenexa , KS 66219-9752

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.