Procainamide

Test Code
PROCAIN


Quest Code
743


CPT Codes
80192

Includes
Procainamide, N-acetylprocainamide, and Procainamide, Total


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


Patient Preparation
Collect as a trough just before next dose.

Minimum Volume
0.2 mL


Other Acceptable Specimens
Plasma collected in: EDTA (lavender-top) tube, or sodium or lithium heparin (green-top) tube


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 4 days
Refrigerated: 7 days
Frozen: Not established


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Serum separator tube (SST)


Methodology
Immunoassay (IA)

Setup Schedule
Set up: Mon-Sat; Report available: Next day


Reference Range
See Laboratory Report


Clinical Significance
Procainamide is used to treat a variety of atrial and ventricular arrhythmias. Metabolism of procainamide produces an active metabolite N-Acetylprocainamide (NAPA). The concentration of both procainamide and NAPA levels are monitored to assure adequate therapeutic levels of procainamide are achieved and to avoid toxicity.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



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.