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4157: Tricyclic Antidepressants (TCA) Confirmation Serum 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 

PRIMARY
1 Serum 3 (2) mL   Refrigerated - 7 Day(s)/Room Temperature - 5 Day(s)  
ALTERNATE
  Plasma Lithium 3 (2) mL   Refrigerated - 7 Day(s)/Room Temperature - 5 Day(s)  
  Plasma Heparinized 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)  
  Plasma EDTA 3 (2) mL   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 seperator tubes are not acceptable; use polypropylene tubes and
ship on cold pack by overnight courier.
Setup Schedule
Tuesday-Saturday

Reported (Analytical Time)
Same day

CPT Code
80336

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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