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| 87600:PROTRIPTYLINE (VIVACTYL) LEVEL | |||||||||
| Alias Names: | Vivactil | ||||||||
| Methodology: | High Performance Liquid Chromatography/Tandem Mass Spectrometry (HPLC/MS/MS) | ||||||||
| Edit Date: | 11/17/2010 | ||||||||
| Performed: | Daily | ||||||||
| Released: | 24-48 hours after setup at PeaceHealth Laboratories’ reference lab. | ||||||||
| CPT Code: | 80299-90 | ||||||||
| Specimen Collection Details | |||||||||
| Collection: | One 5 mL red top tube. Do not use a separator tube (SST or PST). Also acceptable: One 4 mL green top tube (heparin), one 4 mL lavender top tube (EDTA), or one 4 mL grey top tube (sodium fluoride/potassium oxalate). | ||||||||
| Handling: | Allow to clot, centrifuge and separate serum or plasma into a plastic vial. Freeze. | ||||||||
| Stability: | 5 days ambient, 5 days refrigerated, or 6 months frozen. | ||||||||
| Standard Volume: | 2 mL serum or plasma | ||||||||
| Minimum Volume: | 0.5 mL serum or plasma | ||||||||
| Transport: | Frozen on dry ice. | ||||||||
| Rejection Criteria: | Use of SST or PSAT.
This test may require insurance company prior authorization before ordering.
Please check the prior authorization list . Failure to gain preauthorization may result in denial of coverage. |
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| Therapeutic Range: 70-240 ng/mL Toxic: >400 ng/mL |
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