Test Summary Sheet for:

Purpose
Identification and Quantitation
Method(s)
Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS)
Suggested CPT Code(s)
80335
New York State Approval Status

Approved

Turnaround Time

4 days

Test Includes
1 Trimipramine Surmontil® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 0.02 Antidepressant
2 Desmethyltrimipramine Trimipramine Metabolite Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 0.02 Antidepressant

Test Also Known As
Rhotrimine®
Specimen Type
Urine
Requested Volume
2 mL
Minimum Volume
0.7 mL
Special Handling
None
Specimen Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
None

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: 7 day(s)
Refrigerated: 14 day(s)
Frozen (-20 °C): 17 month(s)
1 Trimipramine Surmontil® Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 0.02 Antidepressant
2 Desmethyltrimipramine Trimipramine Metabolite Gas Chromatography (GC) and Gas Chromatography/Mass Spectrometry (GC/MS) mcg/mL 0.02 Antidepressant

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.