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Test Code TEG CARBAMAZEPINE LEVEL

Additional Codes

Software Test Code
Label Text                           TEG
EPIC LAB21                            

Performing Laboratory

NorDx Laboratories

Useful For

Monitoring the dosage of Carbamazapine (Tegretol®)

Method Name

Immunoassay (IA)

Reference Values

Therapeutic concentration: 4.0-12.0 ug/mL

Toxic concentration: >15.0 ug/mL

 

Carbamazepine levels should be drawn as a trough (2 hours prior to the next scheduled dose).  Oral absorption is slow, peak levels occur 8 to 65 hours after ingestion of the first dose; the half-life ranges from 8 to 60 hours, therefore, steady-state is achieved in 2 to 5 days. Serum levels are particularly important during the first few weeks of therapy when autoinduction is occurring. 

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 Seperator Tube (PST)

Serum Separator Tube (SST)

Preferred Volume

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

Serum: 0.5 mL (Serum Separator Tube (SST))

Minimum Volume

Plasma: 0.3 mL (Plasma Separator Tube (PST))

Serum: 0.3 mL (Serum Separator Tube (SST))

Specimen Collection and Handling

Spin specimen, separate from clot and send refrigerated.

Specimen Stability Information

Specimen Type: Serum

Frozen: 3 Months

Refrigerated: 6 Days

Must be spun/separated within: 2 Hours

Note: Freeze at -20 C for long term storage

Add On Capable

Yes

Advance Beneficiary Notice Requirements

No ABN Required

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

80156 Drug Assay Carbamazepine, Total  

Keywords

TEGRETOL® (CARBAMAZEPINE)

TDM

THERAPEUTIC DRUG MONITORING

Performing Laboratory Location

NorDx Laboratories

Clinical Significance

Controlling partial seizures with both temporal lobe and psychomotor symptoms, for generalized tonic-clonic seizures, and for analgesia of trigeminal neuralgia.

LOINC Code Information

3432-2

Acceptable Alternative Container(s)

Red Top Tube