Methotrexate Level (PRISMA HEALTH)

Test Code

1230100461

Alias/See Also

LAB481: Methotrexate | MTRX|METHOT|MTX

CPT Codes
80204x1

Preferred Specimen

GMH HOSPITAL LAB: LIME TOP- LIHEP (Refrigerated) Min Vol: 2
RHC HOSPITAL LAB CENTRAL: RED TOP - PLAIN (Refrigerated) Min Vol: 2

Other Acceptable Specimens

GMH HOSPITAL LAB: YELLOW TOP: (Refrigerated) Min Vol: 2
GMH HOSPITAL LAB: MICRO AMBER: (Refrigerated) Min Vol: 2
GMH HOSPITAL LAB: MICRO LIME: (Refrigerated) Min Vol: 2
GMH HOSPITAL LAB: MICRO RED: (Refrigerated) Min Vol: 2
GMH HOSPITAL LAB: MICRO YELLOW: (Refrigerated) Min Vol: 2
GMH HOSPITAL LAB: LITHIUM HEP ALIQUOT: (Refrigerated) Min Vol: N/A
GMH HOSPITAL LAB: SST ALIQUOT: (Refrigerated) Min Vol: N/A
GMH HOSPITAL LAB: RED TOP SERUM ALIQUOT: (Refrigerated) Min Vol: N/A
GMH HOSPITAL LAB: RED TOP - PLAIN: (Refrigerated) Min Vol: 2
RHC HOSPITAL LAB CENTRAL: MICRO RED: (Refrigerated) Min Vol: 2
RHC HOSPITAL LAB CENTRAL: RED TOP SERUM ALIQUOT: (Refrigerated) Min Vol: N/A

Instructions

Adult: Minimum 3 mL blood *Pediatric minimum: 1 full microtainer* Serum or plasma (EDTA or Acid Citrate Dextrose [ACD] as an anticoagulant) may be used.

Transport Temperature

0.1 mL of serum or plasma is required for testing. Transport to the laboratory as soon as possible after collection. Specimens may be stored between 2-8 degrees Celsius for up to 24 days prior to testing. For longer storage, specimens should be frozen at -20 degrees Celsius.

Report Available

GMH HOSPITAL LAB
STAT: 240 min
Routine: 1440 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

OMH HOSPITAL LAB
STAT: 240 min
Routine: 1440 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

BEH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

GRMH HOSPITAL LAB
STAT: 240 min
Routine: 1440 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

HMH HOSPITAL LAB
STAT: 240 min
Routine: 1440 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

LCMH HOSPITAL LAB
STAT: 240 min
Routine: 1440 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

RHC HOSPITAL LAB CENTRAL
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

BCH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

BPH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

THL HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

Last Updated: March 6, 2023

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.