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4903P: Vancomycin, Peak & Trough Print View
Vancomycin Peak IA  20 - 40  mg/L 
Vancomycin Trough IA  10 - 20  mg/L 

PRIMARY
1 Serum Peak 1 (0.5) mL   Refrigerated - 7 Day(s)/Room Temperature - 72 Hour(s)  
2 Serum Trough 1 (0.5) mL   Refrigerated - 7 Day(s)/Room Temperature - 72 Hour(s)  
ALTERNATE
  Plasma EDTA Peak 1 (0.5) mL   Room Temperature - 72 Hour(s)/Refrigerated - 7 Day(s)  
  Plasma Heparinized Peak 1 (0.5) mL   Refrigerated - 7 Day(s)/Room Temperature - 72 Hour(s)  
  Plasma Heparinized Trough 1 (0.5) mL   Refrigerated - 7 Day(s)/Room Temperature - 72 Hour(s)  
  Plasma EDTA Trough 1 (0.5) mL   Refrigerated - 7 Day(s)/Room Temperature - 72 Hour(s)  

Vancomycin is an antibiotic used in the treatment of serious bacterial infections, especially methicillin-resistant staphylococci. Vancomycin is also used in treatment for penicillin-allergic patients who cannot receive or have failed to respond to other drugs, including the penicillins and/or cephalosporins, and for other infections caused by vancomycin-susceptible organisms.

Collect as a trough just prior to next dose. Collect peak 1-2 hours
after 60-minute IV infusion. Transport at room temperature.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Same day

CPT Code
80202x2

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
When using this test code, both Peak and Trough specimens must be sent together.






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