Percodan®, Serum/Plasma Test (3436SP)

Analysis Code 3436SP 
Test Name Percodan®, Serum/Plasma 
Test Includes Oxycodone - Free [GC/MS], Salicylates [SP] 
Compound Synonym(s) ASA Aspirin OxyContin® Roxicodone® Roxiprin® 
Purpose Therapeutic Drug Monitoring 
Category Analgesic, Narcotic Analgesic 
Method(s) Gas Chromatography/Mass Spectrometry (GC/MS) Spectrophotometry (SP) 
Specimen Requirements 5 mL Serum or Plasma 
Transport Temperature Refrigerated 
Specimen Container Plastic container (preservative-free) 
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. 
Light Protection Required Not Required 
Stability Room Temperature: 7 day(s) Refrigerated: 14 day(s) Frozen (-20 °C): 8 month(s) 
Rejection Criteria Polymer gel separation tube (SST or PST). 
Day(s) Test Set-up [SP] Wednesday 1 day [GC/MS] Monday-Friday 2nd Shift 4 days 
Suggested CPT Code [GC/MS] 83925 [SP] 80196 

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