Test Summary Sheet for:

Test Code 9139B

Test Name Clonazepam and Metabolite Screen, Blood

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

4 days (If Positive: 7 days)

Test Includes
1 Clonazepam Klonopin® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Anticonvulsant, Antiepileptic
2 7-Amino Clonazepam Clonazepam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Hypnotic, Sedative

Test Also Known As
Rivotril®
Reflex Tests
Test Code Test Name
5488B Clonazepam and Metabolite Confirmation, Blood
Specimen Type
Blood
Requested Volume
3 mL
Minimum Volume
1.4 mL
Special Handling
None
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
None

Rejection criteria pertain to clinical specimen submissions only.

Stability
Room Temperature: 14 day(s)
Refrigerated: 14 day(s)
Frozen (-20 °C): 14 day(s)
1 Clonazepam Klonopin® High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Anticonvulsant, Antiepileptic
2 7-Amino Clonazepam Clonazepam Metabolite High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS) ng/mL 2 Hypnotic, Sedative

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.