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Test Code AMIKT AMIKACIN, TROUGH

Additional Codes

Software Test Code
Label text AMIKT
EPIC LAB10013

Performing Laboratory

NorDx Laboratories

Useful For

Monitoring adequacy of blood concentration during amikacin therapy

Method Name

Fluorescence Polarization Immunoassay (FPIA)

Reference Values

Therapeutic range: 5 – 10 µg/mL

Toxic range: > 15 µg/mL

Days and Times Test Performed

Monday through Sunday

Report Available

1 Day

Available Stat

Specimen Type

Submit one of the following:

~ Plasma

~ Serum

Preferred Container

Plasma Separator Tube (PST)

Preferred Volume

Plasma: 0.5 mL (Plasma Separator Tube (PST))

Specimen Collection and Handling

1. Collect sample just prior to the next dose.

2. Spin down and send 0.5 mL of sample in plastic vial on dry ice.

SPECIMENS CONTAINING ADDITIONAL ANTIBIOTICS SHOULD BE STORED FROZEN IF ANY DELAY IN ANALYSIS OR MORE THAN 8 HOURS IN TRANSPORT TIME IS ANTICIPATED. FAILURE TO FREEZE SPECIMEN CONTAINING ADDITIONAL ANTIBIOTICS MAY RESULT IN FALSELY LOW AMIKACIN LEVELS DUE TO IN VITRO INACTIVATION

Specimens containing kanamycin A, kanamycin B will yield falsely elevated values for amikacin.

Specimen Stability Information

Specimen Type: Plasma

Frozen: 3 Months

Refrigerated: 2 Days

Must be spun/separated within: 2 Hours

Note: Freeze at -20 for long term storage

Specimen Type: Serum

Frozen: 3 Months

Refrigerated: 2 Days

Must be spun/separated within: 2 Hours

Note: Freeze at -20 for long term storage

Add On Capable

Yes

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer
80150 Drug Screen Quantitative Amikacin  

Performing Laboratory Location

NorDx Laboratories

LOINC Code Information

3321-7

Acceptable Alternative Container(s)

Red Top Tube

Serum Separator Tube (SST)