Test Summary Sheet for:

Purpose
Therapeutic Drug Monitoring
Method(s)
Gas Chromatography (GC)
Suggested CPT Code(s)
80375
New York State Approval Status

Approved

Turnaround Time

4 days

Test Includes
1 Doxylamine Unisom® Gas Chromatography (GC) ng/mL 50 Antihistamine

Test Also Known As
Decapryn®
Specimen Type
Serum or Plasma
Requested Volume
3 mL
Minimum Volume
1.2 mL
Special Handling
Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines.
Specimen Container
NMS Labs has no experimental or literature-based data regarding the choice of specific specimen collection containers for this test.

Additional Collection Instructions

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

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: Undetermined
Refrigerated: Undetermined
Frozen (-20 °C): Undetermined
1 Doxylamine Unisom® Gas Chromatography (GC) ng/mL 50 Antihistamine

Interface Map

LOINC® Information

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.