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Test Code ZG313 Theophylline, Plasma or Serum

Additional Codes

Ordering Mnemonic
SHO10260

EPIC Code: LAB35

Methodology

Kinetic Interaction of Microparticles in Solution (KIMS)

Performing Laboratory

Corewell Health Reference Laboratory, Grand Rapids, MI

Specimen Requirements

Submit only 1 of the following specimens:

 

Plasma

Container/Tube: Mint-top (lithium heparin) tube

Specimen Volume: 1 mL of plasma

Collection Instructions:

Trough: Draw immediately before next dose.

Peak: 12 hours after and evening dose or 9 hours after a morning dose.

Note:

1. Indicate plasma.

2. Label specimen appropriately (plasma).

 

Serum

Container/Tube: Serum gel tube

Specimen Volume: 1 mL of serum

Collection Instructions:

Trough: Draw immediately before next dose.

Peak: 12 hours after and evening dose or 9 hours after a morning dose.

Note: 

1. Indicate serum.

2. Label specimen appropriately (serum).

Specimen Transport Temperature

Refrigerate

Day(s) Test Set Up

Monday through Sunday

Available STAT

Test Classification and CPT Coding

80198 (HH Bill Code 022405797)

Reference Values

Therapeutic concentration: 5-15 µg/mL
Toxic concentration (automatic call-back): >25 µg/mL