Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Test Name: Sunquest Test Code Epic Procedure Code Or ID CPT Code:  

CLOZARIL LEVEL

ORDERING INFORMATION:
Sunquest Test Code:
CLOZ      Geisinger Epic Procedure Code: 80159         Geisinger Epic ID: 43552

SPECIMEN COLLECTION
Specimen type:
Serum (preferred) or plasma
Preferred collection container:
Alternate Collection Container:
6 mL pink-top K2 EDTA tube
Specimen required:
2 mL aliquot serum or plasma; minimum 1 mL. Please submit a separate frozen aliquot for this test. It may not be combined with any other test requiring a frozen aliquot.
Special notes:
Gel barrier tubes are unacceptable.

SPECIMEN PROCESSING
Specimen processing instructions:
Serum: Allow to clot. Centrifuge 10 minutes at 3000 rpm.
Plasma: Centrifuge 10 minutes at 3000 rpm. 
Transport temperature:
Frozen (preferred) or refrigerated.
Specimen stability:
Room Temperature: 1 day. Refrigerated: 5 days. Frozen: 1 month (-20°C).
Rejection criteria:
Grossly hemolytic or lipemic samples are unacceptable. Gel barrier tubes are unacceptable.

TEST DETAILS
Reference interval:
Norclozapine: Trough, steady-state 25-400 ng/mL. Detection limit 25 ng/mL

Clozapine: The therapeutic response begins to appear at 100 ng/mL. Refractory schizophrenia appears to require a therapeutic concentration of at least 350 ng/mL (trough, at steady-state).
Detection limit 25 ng/mL.

Critical values/courtesy alerts:
Clozapine: Toxic range Greater than 1000 ng/mL. Norclozapine: Toxic range not well established.
CPT code(s):
80159
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Clozaril level.
Methodology:
High Performance Liquid Chromatography (HPLC)
Synonyms:
Clozapine
Quest test code 1769

Performing Locations

Quest Diagnostics

Technical Lead: Michael Weaver    
Frequency: Monday-Friday morning    
Performed stat? No
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