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Stiripentol, serum/plasma-994

Test info

Test name:

Stiripentol, serum/plasma

Test number:

994

Excellian order number:

LAB994

Abbreviation:

MSO

Alternate names:

Diacomit^®

Useful for:

Therapeutic drug monitoring

Specimen

Specimen type:

Serum

Collection container:

Red serum vial/tube, 5 mL

Volume:

1.0 mL

Minimum volume:

0.2 mL

Processing instructions:

Allow sample to clot
Spin within two (2) hours 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 processing instructions:

Spin within two (2) hours of sample collection
Transfer plasma to a Transfer vial/tube with cap - 12mL (LabCorp), labelled as EDTA plasma

Transport and stability:

Refrigerated (preferred) – 30 days

Ambient – 30 days

Frozen – 4 months

Reason for rejection:

Gel barrier tubes

Performance

Performing lab:

NMS (4211SP) via LabCorp (009985): R-NX

Days set up:

Varies

TAT:

5 - 10 days

Method:

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

Clinical and Interpretive info

Reference ranges:

0.1 mcg/mL

Billing

CPT codes:

G0480

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

Tracking

Date created:

07/16/2021

Revised date:

01/03/2024

Review date:

01/03/2024