87600:PROTRIPTYLINE (VIVACTYL) LEVEL

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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.

Therapeutic Range: 70-240 ng/mL
Toxic: >400 ng/mL