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Epic Code LAB8070 Nortriptyline Level

Test Name Alias

Aventyl | Pamelor | Sensoval | Norpress | Allegron | Nortrilen | 8590

Interface Order Alias

10210

Collection Instructions

Specimen Collection: Blood

 

Container(s): Red top (no additive) or Gray Top (Potassium Oxalate and Sodium Fluoride)

Preferred Volume to Collect: 3.0 mL

Minimum Volume to Collect: 2.0 mL

Neonate Volume to Collect: 2.0 mL

Capillary collect ok? Yes

Microtainer acceptable?  Yes

 

Collection Instructions:

  • After collection, gently invert tube 8-10 times.
  • Red Top is preferred tube.
  • Specimen should be processed – See Processing Instructions.

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Processed Specimen: Plasma or Serum

Centrifuge/Spin: Yes

Aliquot: Yes

 

Processing Instructions:

  • Red top:
  • When tubes are clotted (30-45 minutes), centrifuge specimen.
  • Pipette serum into aliquot tube
  • Gray top:
    • Centrifuge after collection
    • Pipette plasma into aliquot tubes

Minimum plasma/serum volume: 1.0 mL

 

Transport Temperature: Ambient

Specimen Stability

Ambient: 72 hours

Refrigerate: 7 days

Frozen: 14 days

Laboratory Retention: 7 days

Test Frequency

Available 24 hours, usual TAT 1-3 days.

STAT TAT 4 hours.

Reference Range

Therapeutic Range: 50 – 150 ng/mL

Performing Department

TOXICOLOGY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI

Methodology

Liquid Chromatography-Mass Spectrometry

 

This test was developed and its performance characteristics determined by Spectrum Health Toxicology Laboratory. It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

 

 

CPT

80335-LAB-NORTRIPTYLINE LEVELG6037
HCPCS: G0480

CDM Code

4028590

Epic Test ID

1230100980

LOINC

Nortriptyline Lvl: 3872-9

Beaker LOINC

NORTRIPTYLINE LVL: 3872-9

Mayo Access Code

SHO8590

Additional Information

Gold Top SST not acceptable

Reviewed Date

12/6/2021

Beaker Names

Beaker Procedure Name: NORTRIPTYLINE
Beaker Display Name: Nortriptyline Level
BEAKER TEST NAME: NORTRIPTYLINE
BEAKER TEST REPORT NAME: Nortriptyline

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW TOXICOLOGY: RED TOP TUBE R (Preferred)-Ambient
BW TOXICOLOGY: 6 ML GRAY TOP TUBE A (Acceptable)-Ambient