Centralized Core Laboratory - Mayo Clinic Laboratories :
Send Out
PATIENT INFO
Patient Name:
Medical Record #:
BD: //Sex: F M
PHYSICIAN INFO
Physician Name :
Address:
Ph: ()-Fax: ()-
Additional Report to:
Ph: ()-Fax: ()-
TESTS REQUESTED
Test Name:
ICD9 Code: (required)
1. Oxcarbazepine
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
OXCAR
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top ( no anticoagulant)
Collection Volume:
2.5 mL (minimum 1.5 mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
High Turbulence Liquid Chromatography Mass Spectrometry (HTLC-MS/MS)
Special Instructions:
Draw specimen immediately before next scheduled dose. Spin down within 2 hours of draw.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly)
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference Range: 10-35 mcg/mL
CPT Code:
80183
Synonyms:
Trileptal
Oxcarbazepine
Test ID/Workstation :
OXCAR
Specimen Type:
Blood
Tube Type:
Red top ( no anticoagulant)
Collection Volume:
2.5 mL (minimum 1.5 mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
High Turbulence Liquid Chromatography Mass Spectrometry (HTLC-MS/MS)
Special Instructions:
Draw specimen immediately before next scheduled dose. Spin down within 2 hours of draw.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly)
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference Range: 10-35 mcg/mL
CPT Code:
80183
Synonyms:
Trileptal
By using this site, you consent to our use of cookies. To learn more, read our
privacy policy.