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Perampanel, serum/plasma-14240

Test info

Test name:

Perampanel, serum/plasma

Test number:

14240

Excellian order number:

LAB14240

Abbreviation:

PERAMPANEL

Alternate names:

Fycompa

Useful for:

Therapeutic drug monitoring

Specimen

Specimen type:

Serum

Collection container:

Red serum vial/tube, 5 mL

Volume:

1.0 mL

Minimum volume:

0.3 mL

Processing instructions:

Allow sample to clot
Spin within 45 minutes of sample collection
Transfer serum to a Transfer vial/tube with cap - 12mL (LabCorp), labelled as serum

Transport container:

Transfer vial/tube with cap - 12mL (LabCorp)

Alternate specimen type:

EDTA plasma

Alternate collection container:

Lavender (EDTA), 4mL

Alternate collection instructions:

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

Alternate processing instructions:

Spin within 45 minutes of sample collection
Transfer plasma to a Transfer vial/tube with cap - 12mL (LabCorp), labelled as EDTA plasma

Transport and stability:

Refrigerated (preferred) - 1 month

Ambient - 1 month

Frozen - 25 months

Reason for rejection:

Polymer gel separation tube (SST or PST)

Performance

Performing lab:

NMS (3433SP) via LabCorp Burlington (821473): R-LC

TAT:

8 days

Method:

High Performance Liquid Chromatography/ Tandem Mass Spectrometry (LC-MS/MS)

Clinical and Interpretive info

Reference ranges:

20 ng/mL

Billing

CPT codes:

80339

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

Tracking

Date created:

06/03/2019

Revised date:

02/07/2020

Review date:

01/03/2024