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Test Code SOFT: THEO Theophylline, Plasma

Additional Codes

Ordering Mnemonic

EPIC NAME: THEOPHYLLINE LEVEL

EPIC CODE: LAB35

 

Performing Laboratory

Saint Francis Medical Center-Drug Monitoring

Specimen Requirements

Specimen Type: Plasma

Container/Tube: Mint green-top (lithium heparin gel) tube

Specimen Volume: 0.5 mL

Specimen Transport Temperature

Refrigerated 24 hours

Reference Values

Therapeutic concentration: 10-20 µg/mL
Toxic value (automatic call-back): >20.5 µg/mL

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

80198

Methodology

Enzyme Immunoassay (EIA)