Theophylline Level
Additional Codes
LAB35
Performing Laboratory
MBMC Main Laboratory
Methodology
Kinetic Interaction of Microparticles in a Solution (KIMS)
Specimen Requirements
Specimen Type: Plasma
Container/Tube: Mint-green top (lithium heparin
gel)
Specimen Volume: Full tube
Alternative Specimen Type: Serum
Alternative Container/ Tube: Gold, Serum gel
Alternative Specimen Volume: Full tube
Collection Instructions: Trough levels should be drawn 30 minutes before dose.Peak levels should be drawn as follows: PO-2 hours, Choledyl-2 hours, time-release-4 hours, intravenous-15 minutes.
Specimen Transport Temperature
Ambient
Day(s) Test Set Up
Monday through Sunday
Turnaround Time:
STAT: 1 hour after receipt in laboratory
Routine: within 4 hours
Reference Values
10.0-20.0 mcg/mL
Critical value (automatic call-back): >25 mcg/mL
Test Classification and CPT Coding
Test Classification:This test has been cleared
or approved by the U.S. Food and Drug Administration and is used
per manufacturer’s instructions.
CPT Code:
80198
Stability
5 days Refrigerated