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
Reference Range:
Total 150-250 mcg/L
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
Custom Panel: No


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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