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15142: Levetiracetam Print View
Levetiracetam   12 - 46  mcg/mL 

PRIMARY
1 Serum Red Top 1 (0.5) mL   Frozen - 60 Day(s)/Refrigerated - 28 Day(s)/Room Temperature - 14 Day(s)  
ALTERNATE
  Plasma Heparinized 1 (0.5) mL   Refrigerated - 28 Day(s)/Frozen - 60 Day(s)/Room Temperature - 14 Day(s)  
  3.2% Sodium Citrate   Frozen - 60 Day(s)/Refrigerated - 28 Day(s)/Room Temperature - 14 Day(s)  
  Plasma EDTA 1 (0.5) mL   Frozen - 60 Day(s)/Refrigerated - 28 Day(s)/Room Temperature - 14 Day(s)  
  Plasma EDTA Trace Metal 1 (0.5) mL   Frozen - 60 Day(s)/Room Temperature - 14 Day(s)/Refrigerated - 28 Day(s)  

Levetiracetam is an anticonvulsant used as adjunct therapy to treat adult partial seizures. As multiple anticonvulsants are administered, it is important to monitor its level to (1) optimize therapy, (2) assure compliance, and (3) to avoid toxicity.

Collect in red-top tube (no gel). Avoid use of Serum Separator
Tube SST(R) as the drug may be absorbed into the gel. Collect
at trough level (i.e. immediately prior to next dose).
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Next day

CPT Code
80177

The CPT codes provided 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 payer being billed.

Notes
Preferred Specimen: 1 mL (0.5 mL minimum) serum collected in a red-top tube (no gel)
Acceptable: Plasma collected in an EDTA (lavender-top) tube or EDTA (royal blue-top) tube or sodium heparin (green-top) tube or 3.2% sodium citrate (light blue-top) tube
Transport Temperature: Room Temperature
Reject Criteria: Serum Separator Tube (SST(R))
Methodology: Liquid Chromatography Tandem Mass Spectrometry






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