Last Modified:
3/27/2019 2:58:29 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:
Do not collect in a Serum Separator Tube (SST or PST)
Specimen should be drawn 11 to 17 hours after the last dose
Centrifuge and separate from cells immediately
Minimum Volume:
0.5 mL
Transport & Storage: Temperature/Stability:
2 days Ambient
1 week Refrigerated
1 month Frozen
Reference Range:
5-15 ng/mL
Critical Ranges:
50 ng/mL or more
Test Comments:
Methodology:
Liquid Chromatography / Tandem Mass Spectrometry
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
4 to 7 days
Days Performed:
Monday, Wednesday, Friday
Sites Performed:
Quest - Chantilly
PHL Test Code:
HALOP
EPIC Test Code:
LAB191
Send Out Test Code:
564
Alternate Test Names:
Haldol
Included Tests:
CPT Coding:
80173
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