Last Modified:
3/25/2019 2:39:35 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:
Specimen should be drawn 1hour prior to next dose
Do not collect in a Serum Separator Tube (SST or PST)
Centrifuge and separate from cells immediately
Minimum Volume:
0.5 mL
Transport & Storage: Temperature/Stability:
3 days Ambient
5 days Refrigerated (Preferred)
1 month Frozen
Reference Range:
Trough: 30 - 50 mcg/mL
Critical Ranges:
Test Comments:
Peak ranges depend on dosage amount. See Interpretive Report.
Methodology:
Liquid Chromatography Tandem Mass Spectrometry
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
5 to 7 days
Days Performed:
Tuesday, Friday
Sites Performed:
Quest - Valencia
PHL Test Code:
FELBA
EPIC Test Code:
LAB686
Send Out Test Code:
3081
Alternate Test Names:
Felbatol
Included Tests:
CPT Coding:
82491
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