Last Modified:
2/2/2022 7:11:24 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Do not collect in a Serum Separator Tube (SST or PST)
Specimen should be drawn immediately prior to next dose
Minimum Volume:
0.2 mL Serum
Neonatal Volume:
0.3 mL Whole Blood Red Microtainer (No Gel)
Transport & Storage: Temperature/Stability:
7 days Refrigerated
24 hours on cells
Reference Range:
< 2 ug/mL
Critical Ranges:
> 2 ug/mL
Test Comments:
Methodology:
Immunoassay
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
GENTT
EPIC Test Code:
LAB26
Alternate Test Names:
Garamycin; Gentamicin Level, Trough
Included Tests:
CPT Coding:
80170
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