Last Modified:
3/27/2019 4:10:25 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
3.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Collect at steady-state trough concentration. Specimen should be collected >12 hours after dose
Minimum Volume:
1.5 mL Serum
Transport & Storage: Temperature/Stability:
5 days Ambient (transport)
5 days Refrigerated
30 days Frozen
Rejection Criteria:
Gross hemolysis • Gel barrier/serum separator tube
Critical Ranges:
Test Comments:
Methodology:
LC/MS/MS
Clinical Significance:
Imipramine is a tricyclic antidepressnt drug used to treat depression. Therapeutic drug monitoring is used to optimize dose and to avoid toxicity
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
1 to 2 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Quest - Chantilly
PHL Test Code:
IMIPR
EPIC Test Code:
LAB2504
Send Out Test Code:
887
Alternate Test Names:
Desipramine; Janimine; Tofranil
Included Tests:
CPT Coding:
80335
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