Test Code 8700SP

Test Name Antidepressants Panel, Serum/Plasma

Method(s)
Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS)
Suggested CPT Code(s)
80332
80337
80338
New York State Approval Status

Approved

Turnaround Time

3 days

Test Includes
1 Amitriptyline Elavil®; Endep® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
2 Nortriptyline Amitriptyline Metabolite; Aventyl®; Pamelor® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
3 Clomipramine Anafranil® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
4 Desmethylclomipramine Clomipramine Metabolite Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
5 Imipramine Tofranil® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
6 Desipramine Imipramine Metabolite; Norpramin®; Pertofrane® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
7 Doxepin Sinequan® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
8 Desmethyldoxepin Doxepin Metabolite Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
9 Trimipramine Surmontil® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
10 Desmethyltrimipramine Trimipramine Metabolite Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
11 Fluoxetine Prozac® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
12 Norfluoxetine Fluoxetine Metabolite Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
13 Protriptyline Vivactil® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
14 Maprotiline Ludiomil® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
15 Trazodone Desyrel® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 0.1 Antidepressant
16 Amoxapine Asendin® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant
17 Mirtazapine Remeron® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) ng/mL 10 Antidepressant

Test Also Known As
; ; ; Adapin® Rhotrimine® Tricyclics; Triptil®
Compliance Statement
This test was developed and its performance characteristics determined by NMS Labs. It has not been cleared or approved by the US Food and Drug Administration.
Sample Type
Serum or Plasma
Requested Volume
3 mL
Minimum Volume
1.2 mL
Special Handling
Serum: Collect sample in Red top tube

Plasma: Collect sample in Lavender top tube (EDTA) or Pink top tube.
Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines.
Sample Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
Received Room Temperature. Polymer gel separation tube (SST or PST).

Rejection criteria pertain to clinical sample submissions only.

Stability
Room Temperature: 2 day(s)
Refrigerated: 14 day(s)
Frozen (-20 °C): 14 day(s)

The CPT Codes provided in this document are based on AMA Guidelines and are for informational purposes only. NMS Labs Does not assume responsibility for billing errors due to Reliance on the CPT Codes listed in this document.

*The information contained in this document represents database configurations, as they will appear on the effective date listed above.