Phenobarbital

Last Modified: 8/31/2023 3:17:47 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:  
Minimum Volume: 0.2 mL Serum
Neonatal Volume: 0.3 mL Whold Blood Microtainer
Transport & Storage: Temperature/Stability:

7 days Ambient 
7 days Refrigerated
1 year Frozen

24 hours unspun
Rejection Criteria: Serum Separator Tube (SST or PST)
Reference Range:

15 - 40 ug/mL
Critical Ranges: NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
>40 ug/mL

Pediatric to Adult:
> 60 ug/mL
Test Comments:  
Methodology: FPIA
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Departments:
Sites Performed: Parkview Regional Medical Center
PHL Test Code: PHENB
EPIC Test Code: LAB30
Alternate Test Names: Luminal; PHENB; Phenobarbital Level
Included Tests:  
CPT Coding: 80184

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