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Sulfonylurea screen, serum or plasma, quant-12516

Test info

Test name:

Sulfonylurea screen, serum or plasma, quant

Test number:

12516

Excellian order number:

LAB12516

Abbreviation:

SULFONYLUREA

Alternate names:

Antidiabetic agents
Hypoglycemic agent

Tests included:

Acetohexamide
Chlorpropamide
Glimepiride
Glipizide
Glyburide
Nateglinide
Repaglinide
Tolazamide
Tolbutamide

Useful for:

Detect the presence of sulfonylurea class drugs

Specimen

Specimen type:

Serum

Collection container:

Red serum vial/tube, 5 mL

Volume:

2.0 mL

Minimum volume:

1.0 mL

Processing instructions:

Allow sample to clot
Spin within two (2) hours of sample collection
Transfer serum to a Serum/plasma transfer vial/tube (MedTox), labelled as serum

Transport container:

Serum/plasma transfer vial/tube (MedTox)

Alternate specimen type:

Heparin plasma

Alternate collection container:

Dk green heparin (Li or Na), no gel

Alternate collection instructions:

Immediately following collection, mix sample thoroughly by gentle inverting 8 - 10 times to prevent clotting

Alternate processing instructions:

Spin within two (2) hours of sample collection
Transfer plsams to a Serum/plasma transfer vial/tube (MedTox), labelled as the appropriate plasma type

Transport and stability:

Refrigerated (preferred)

Ambient (OK) - 3 days

Frozen (OK)

Reason for rejection:

Gel-barrier tubes are not recommended

Performance

Performing lab:

MedTox Laboratories (19102): R-MX

Days set up:

Tu, Fr

TAT:

5 - 6 days

Method:

Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS)

Clinical and Interpretive info

Reference ranges:

Not established

Billing

CPT codes:

G0480

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

LOINC code:

Result 27007-4

Tracking

Date created:

05/29/2014

Revised date:

12/27/2023

Review date:

12/27/2023