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4154: Tricyclic Antidepressants (TCA) Confirm Serum Extended Print View
Desipramine LC-MS-MS  50 - 300  mcg/L 
Imipramine LC-MS-MS    mcg/L 
Amitriptyline LC-MS-MS    mcg/L 
Nortriptyline LC/MS/MS  50 - 150  mcg/L 
Desmethylclomipramine LC-MS-MS  150 - 350  mcg/L 
Clomipramine LC-MS-MS  50 - 250  mcg/L 

PRIMARY
1 Serum 3 (2) mL   Room Temperature - 5 Day(s)/Refrigerated - 7 Day(s)  
ALTERNATE
  Plasma Heparinized 3 (2) mL   Refrigerated - 7 Day(s)/Room Temperature - 5 Day(s)  
  Plasma EDTA 3 (2) mL   Room Temperature - 5 Day(s)/Refrigerated - 7 Day(s)  
  Plasma Lithium 3 (2) mL   Room Temperature - 5 Day(s)/Refrigerated - 7 Day(s)  
  Sod Heparin Lead-Free   Refrigerated - 7 Day(s)/Room Temperature - 5 Day(s)  
  Serum Royal Blue 3 (2) mL   Room Temperature - 5 Day(s)/Refrigerated - 7 Day(s)  
  Plasma EDTA Trace Metal 3 (2) mL   Refrigerated - 7 Day(s)/Room Temperature - 5 Day(s)  

Panel confirms positive screen for Tricyclic Antidepressants.

Serum separator tubes are not acceptable; use polypropylene tubes for
transportation. Avoid using glass material for long-term storage as
drug adsorbs on the glass.
Ship refrigerated or on cold pack.
Setup Schedule
Tuesday-Saturday

Reported (Analytical Time)
Same day

CPT Code
80335x5

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
Reject criteria: Gross Hemolysis, Gel Barrier/Serum Separator tubes






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