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Test Code THEO Theophylline, Plasma or Serum

Additional Codes

St. Luke's Compendium Code (Iatric): L315.0335

Performing Laboratory

St. Lukes Hospital Laboratory

Methodology

Turbidimetric Immunoassay

Specimen Requirements

Separated specimens may be stored for up to 8 hours at 25°C or for up to 7 days at 2 - 8°C

Submit only 1 of the following specimens:
 

Plasma

Draw blood in a green-top (lithium heparin) plasma gel tube(s). Draw blood for trough level 30 minutes prior to next dose. Spin down and send 1 mL of lithium heparin plasma refrigerated.

Note:  1. Indicate date and time of last dose and plasma on request form.

2. Label specimen appropriately (plasma).

 

Serum

Draw blood in a serum gel tube(s). Spin down and send 1 mL of serum refrigerated. Draw blood for trough level 30 minutes prior to next dose.

Note:  1. Indicate date and time of last dose and serum on request form.

2. Label specimen appropriately (serum).

 

Unspun specimens must be transported at ambient temperature and arrive to the laboratory within one hour of draw.

Reference Values

Therapeutic concentration:  10.0-20.0 mcg/mL

Critical value (automatic call-back):  >25.0 mcg/mL

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

CPT: 80198

LOINC: 4049-3