AMINOR

Amitriptyline/Nortriptyline

EPIC Test Procedure Code: LAB3312

Synonyms:
Elavil
Pamelor
Performing Lab:
Referral Laboratory
Patient Preparation:

For therapeutic monitoring, collect specimens immediately
prior to the next dose unless otherwise specified.

Container Type:
Plain red top tube, lavender top (EDTA) or green top (heparin) tube (NO GEL TUBES)
Specimen Type:

Serum or plasma

Preferred Volume:
1 mL
Minimum Volume:
0.3 mL
Specimen Processing:

Transfer the separated serum or plasma to a plastic transport tube.

Store and Transport:
Room Temperature
Stability:

Frozen - 14 days
Refrigerated - 14 days
Room temperature - 14 days

Unacceptable Condition:

Specimens collected in gel barrier tubes will be rejected.

CPT Codes:

80335 - Amitriptyline Elavil (EAP 30020964)
(If billing Medicare, use G0480)

Method:
Liquid chromatography/tandem mass spectrometry (LC/MS-MS)

Lab Personnel

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