Last Modified:
5/30/2019 12:04:07 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:
Collect as a trough just prior to next dose
Minimum Volume:
0.3 mL
Transport & Storage: Temperature/Stability:
14 days Ambient
28 days Refrigerated
60 days Frozen
Avoid Freeze/Thaw cycles
Rejection Criteria:
Serum Separator Tube (SST®)
Reference Range:
12.0 - 46.0 mcg/mL
Critical Ranges:
Test Comments:
Methodology:
Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)
Clinical Significance:
Levetiracetam is an anticonvulsant used as adjunct therapy to treat adult partial seizures. As multiple anticonvulsants are administered, it is important to monitor its level to (1) optimize therapy, (2) assure compliance, and (3) to avoid toxicity.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
2 to 5 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly
PHL Test Code:
KEPPR
EPIC Test Code:
LAB477
Send Out Test Code:
15142
Alternate Test Names:
Keppra; Levetiracetam (Keppra)
Included Tests:
CPT Coding:
80177
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