Last Modified:
12/28/2023 7:53:39 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:
Peak = Post and/or After Dose
Specimens should be drawn at 30 minutes after 1 hr IV infusion
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
Rejection Criteria:
Do not collect in a Serum Separator Tube (SST or PST)
Reference Range:
30 - 40 ug/mL
Critical Ranges:
> 40 ug/mL
Test Comments:
Methodology:
Immunoassay
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview LaGrange Hospital, Parkview Noble Hospital, Parkview Randallia Hospital, Parkview Regional Medical Center, Parkview Wabash Hospital, Parkview Warsaw , Parkview Whitley Hospital
PHL Test Code:
VANCP
EPIC Test Code:
LAB41
Alternate Test Names:
Vancocin; Vancomycin; Vancomycin Peak (Post)
Included Tests:
CPT Coding:
80202
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