Last Modified:
3/25/2019 4:07:04 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:
Trough levels are most reproducible
Submission of the minimum volume results in an elevated reporting limit and inability to repeat analysis
Minimum Volume:
0.5 mL
Transport & Storage: Temperature/Stability:
3 days Ambient
Refrigerated
Frozen
Reference Range:
0.5 - 20.0 ng/ml
Detection Limit:
0.2 ng/ml
Critical Ranges:
40.0 ng/ml
Test Comments:
Expected range for low dose therapy: 0.5 - 2.25 ng/ml
Expected range for high dose therapy: 5.0 - 20.0 ng/ml
Some patients respond well to the lower range of therapy, while other patients require the higher concentrations to achieve desired therapeutic effects.
Methodology:
LC/MS/MS
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Departments:
Other Testing Facility:
Medtox
PHL Test Code:
PROLX
EPIC Test Code:
LAB1067
Send Out Test Code:
52
Alternate Test Names:
Prolixin
Included Tests:
CPT Coding:
80342
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