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| 94440:FELBAMATE (FELBATOL) | |||||||||
| Methodology: | High Performance Liquid Chromatography (HPLC) | ||||||||
| Edit Date: | 6/11/2010 | ||||||||
| Performed: | Monday, Wednesday, Friday | ||||||||
| Released: | 1-4 days after setup at PeaceHealth Laboratories’ reference lab. | ||||||||
| CPT Code: | 80299-90 | ||||||||
| Specimen Collection Details | |||||||||
| Collection: | One 5 mL red top tube. Also acceptable: One 4 mL green top tube (heparin), 4 mL lavender top tube (EDTA), or 4 mL grey top tube (potassium oxalate/sodium fluoride plasma). Do not use serum separator tube (SST) or plasma separator tube (PST). | ||||||||
| Handling: | Allow to clot, centrifuge and separate serum or plasma from cells into a plastic vial. Refrigerate. | ||||||||
| Stability: | Specimen stable 48 hours ambient, 1 month refrigerated, or 6 months frozen. | ||||||||
| Standard Volume: | 1 mL serum or plasma. | ||||||||
| Minimum Volume: | 0.5 mL serum or plasma. | ||||||||
| Transport: | Refrigerated. | ||||||||
| Comments: | Therapeutic range not well established. The proposed therapeutic range for seizure control is 30-60 µg/mL. Pharmacokinetics varies widely, particularly with co-medications, age, and/or compromised renal function. No critical value has been defined. | ||||||||
| Rejection Criteria: | Use of SST or PST
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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