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Test Directory

Escitalopram, Serum/Plasma

Test Summary

Drug monitor

Aliases

  • NMS code 1965SP

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL serum collected in a red top tube

Minimum Volume

0.4 mL

Instructions

Promptly centrifuge and separate serum or plasma into a plastic, screw-capped vial, using approved guidelines.

Patient Preparation

N/A

Storage

Plastic screw-cap vial

Transport Temperature

Refrigerated

Specimen Stability

  • Room temperature: 30 days
  • Refrigerated: 30 days
  • Frozen: 7 months

Limitations

N/A

Other Acceptable Specimens

Plasma collected in a lavender top tube (EDTA) or pink top tube (EDTA)

Unacceptable Specimens

Polymer gel separation tube (SST or PST)

Order Code

ESCITL

EPIC (Premier) Code

LAB6333

Includes

N/A

CPT Code

  • 80299

Billing Code

  • 670277
  • 670278

CPT Statement

Methodology

High Performance Liquid Chromatography/Tandem Mass Spectrometry (HPLC-MS/MS)

FDA Status

This test was developed and its performance characteristics have been determined by NMS Labs. It has not been cleared or approved by the U.S. Food and Drug Administration.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

National Medical Services
200 Welsh Rd
Horsham PA, 19044

Department

Reference Testing

Reference Range

  • Steady-state serum or plasma levels from patients on a daily regimen of 30 to 60 mg Citalopram: 9-200 ng/mL.
  • Steady-state peak plasma levels from patients on regimen of 10 or 30 mg/day: 21 and 64 ng/mL, respectively, and occur at approximately 4 hours post dose.
  • This test is not chiral specific; therefore, Citalopram and/or Escitalopram may be present. Patients who have taken Racemic Citalopram (Celexa®), as opposed to Escitalopram (Lexapro®), within the past 3 days may have falsely elevated values.
  • Analysis by High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS).

Setup Schedule / Expected Turnaround Time

Report available: 4 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL serum collected in a red top tube

Minimum Volume

0.4 mL

Instructions

Promptly centrifuge and separate serum or plasma into a plastic, screw-capped vial, using approved guidelines.

Patient Preparation

N/A

Storage

Plastic screw-cap vial

Transport Temperature

Refrigerated

Specimen Stability

  • Room temperature: 30 days
  • Refrigerated: 30 days
  • Frozen: 7 months

Limitations

N/A

Other Acceptable Specimens

Plasma collected in a lavender top tube (EDTA) or pink top tube (EDTA)

Unacceptable Specimens

Polymer gel separation tube (SST or PST)

Billing

CPT Code

  • 80299

Billing Code

  • 670277
  • 670278

CPT Statement

Result Information

Methodology

High Performance Liquid Chromatography/Tandem Mass Spectrometry (HPLC-MS/MS)

Testing Laboratory

N/A

Reference Range

  • Steady-state serum or plasma levels from patients on a daily regimen of 30 to 60 mg Citalopram: 9-200 ng/mL.
  • Steady-state peak plasma levels from patients on regimen of 10 or 30 mg/day: 21 and 64 ng/mL, respectively, and occur at approximately 4 hours post dose.
  • This test is not chiral specific; therefore, Citalopram and/or Escitalopram may be present. Patients who have taken Racemic Citalopram (Celexa®), as opposed to Escitalopram (Lexapro®), within the past 3 days may have falsely elevated values.
  • Analysis by High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS).

Setup Schedule / Expected Turnaround Time

Report available: 4 days