Last Modified:
5/20/2019 2:51:09 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
Protect from light
Minimum Volume:
1.0 mL
Transport & Storage: Temperature/Stability:
Ambient 3 days
Reference Range:
5.0 - 30.0 ng/ml
Detection Limit:
0.2 ng/ml
Critical Ranges:
50.0 ng/ml
Test Comments:
Low-dose therapeutic range for perphenazine : 0.5 - 2.5 ng/ml
Methodology:
LC/MS/MS
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Other Testing Facility:
Medtox
PHL Test Code:
PERPH
EPIC Test Code:
LAB2612
Send Out Test Code:
91
Alternate Test Names:
Phenothiazine; Trilafon
Included Tests:
CPT Coding:
80342
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