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4963: Levetiracetam Print View
Levetiracetam LC-MS-MS    mcg/mL 

PRIMARY
1 Serum 1 (0.5) mL   Refrigerated - 28 Day(s)/Frozen - 60 Day(s)/Room Temperature - 14 Day(s)  
ALTERNATE
  Plasma Heparinized 1 (0.5) mL   Room Temperature - 14 Day(s)/Refrigerated - 28 Day(s)/Frozen - 60 Day(s)  
  Plasma EDTA 1 (0.5) mL   Refrigerated - 28 Day(s)/Room Temperature - 14 Day(s)/Frozen - 60 Day(s)  
  Plasma Citrated 1 (0.5) mL   Refrigerated - 28 Day(s)/Room Temperature - 14 Day(s)/Frozen - 60 Day(s)  
  Plasma EDTA Trace Metal 1 (0.5) mL   Frozen - 60 Day(s)/Refrigerated - 28 Day(s)/Room Temperature - 14 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.

Patient Preparation:
Collect at trough level (i.e. immediately
prior to next dose).
Collect in red-top tube (no gel). Avoid use of Serum Separator
Tubes (SST(R)s) as the drug may be absorbed to the gel.
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
Transport Temperature: Room Temperature Reject Criteria: Serum Separator Tube (SST(R))






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