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Test Directory

Primidone, Phenobarbital and PEMA, Serum/Plasma

Test Summary

Therapeutic drug monitoring.

Aliases

  • NMS code 3900SP

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL serum collected in a red top tube

Minimum Volume

0.2 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: 18 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

PRIMPP

EPIC (Premier) Code

LAB3531

Includes

N/A

CPT Code

  • 80184
  • 80188

Billing Code

  • 655013
  • 655012

CPT Statement

Methodology

High Performance Liquid Chromatography (HPLC)

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

See Laboratory Report

Setup Schedule / Expected Turnaround Time

Report available: 7 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL serum collected in a red top tube

Minimum Volume

0.2 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: 18 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

  • 80184
  • 80188

Billing Code

  • 655013
  • 655012

CPT Statement

Result Information

Methodology

High Performance Liquid Chromatography (HPLC)

Testing Laboratory

N/A

Reference Range

See Laboratory Report

Setup Schedule / Expected Turnaround Time

Report available: 7 days