Test Summary Sheet for:

Purpose
Exclusion Screen
Method(s)
High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)
Suggested CPT Code(s)
80307
New York State Approval Status

Approved

Turnaround Time

5 days (If Positive: 9 days)

Test Includes
1 Bupropion Wellbutrin® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 5 Antidepressant
2 Hydroxybupropion Bupropion Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 50 Antidepressant

Test Also Known As
Zyban®
Reflex Tests
Test Code Test Name
5466TI Bupropion and Metabolite Confirmation, Tissue
Specimen Type
Tissue
Requested Volume
10 g
Minimum Volume
10 g
Special Handling
None
Specimen Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Frozen
Light Protection
Not Required
Rejection Criteria
Received Room Temperature. Received Refrigerated.

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: Not Stable
Refrigerated: Not Stable
Frozen (-20 °C): 1 month(s)
1 Bupropion Wellbutrin® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 5 Antidepressant
2 Hydroxybupropion Bupropion Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/g 50 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.