Methotrexate

Message
Perfromed in Chemistry Laboratory x5820
Please notifiy the lab that a specimen is coming when placing an order for methotrexate
09.2018


Test Code
MTX


CPT Codes
80299

Preferred Specimen
Serum from a plain red top tube


Minimum Volume
1 mL


Other Acceptable Specimens
Gold top (SST) tube


Instructions
Draw specimen at steady state reached at 24-48 hours.

Serum half-life for low dose: 3 - 10 hours
Serum half-life for high dose: 8 - 15 hours


Transport Container
Plain Red Top tube


Transport Temperature
Room Temperature


Specimen Stability
2 - 8 oC: 7 days


Methodology
Homogeneous Immunoassay

Setup Schedule
This assay is performed 24 hours per day, 7 days per week


Limitations
Not for patients who have received Glucarpidase within the past 5 - 7 days


Reference Range
Critical Value:
5.0 - 10 umol/L  (24 hours)
0.5 - 1.0 umol/L (48 hours)
> 0.1 umol/L      (72 hours)


Clinical Significance
This test is used to monitor levels of Methotrexate to ensure appropriate therapy.




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.