Geisinger Proven Diagnostics Test Catalog

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THEOPHYLLINE

Test code:
THEO
Specimen type:
Serum or plasma
Tube type / collection container:
Specimen collection notes:
All stat/line draw requests: Plasma separator tube.
All routine requests/off-site specimens: Serum separator tube.
What to submit:
2 mL aliquot of serum or plasma; minimum 0.2 mL.
Patient preparation:
Collect just prior to next dose.
 
Specimen Processing Instructions:
Allow serum to clot. Centrifuge serum or plasma at 1100-2000 g for a minimum of 10 minutes. 
Transport temperature:
Refrigerated (preferred) or frozen.
Specimen stability:
Refrigerated: 1 week. Frozen: 60 days.
Rejection criteria:
Stability limits exceeded.
 
Reference range:
Therapeutic range: 10-20 mcg/mL.
Alert limits:
Above 21.0 mcg/mL.
Additional information:
Significant interference with this procedure may occur in patients with antibodies induced during treatment with mouse monoclonal antibodies.
CPT code(s):
80198
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:
Theophylline.
Methodology:
Enzyme Immunoassay (EIA)
Synonyms:
Aminophylline
Clinical Significance:
Theophylline is used in the treatment of bronchial asthma as well as the treatment of chronic obstructive pulmonary disease and episodes of prolonged apnea in preterm infants. Theophylline levels are monitored to assure adequate therapeutic levels are achieved and to avoid toxicity.
Doctoral Director Review:
Jay Jones Ph.D.    02/04/2014

Performing Locations

Geisinger Medical Center

Performing laboratory: Automated Chemistry
Doctoral director: Jay Jones Ph.D.
Technical specialist: Larry Quinton
Frequency: Daily, Monday - Sunday
Performed stat? Y
Review/ revision date: 02/04/2014
Reviewed/revised by: Larry Quinton

Geisinger Wyoming Valley Medical Center

Performing laboratory: ATL+
Doctoral director: Jay Jones Ph.D.
Technical specialist: Melissa Whetstone    
Frequency: Daily, all shifts    
Performed stat? Y
Review/ revision date: 12/14/2013    
Reviewed/revised by: Melissa Whetstone    
Geisinger Shamokin Area Community Hospital
Performing laboratory: Geisinger Shamokin Area Community Hospital
Doctoral director: Harold Harrison M.D.,Ph.D.
Technical specialist: Donna Costello    
Frequency: Daily, all shifts    
Performed stat? Y
Review/ revision date: 04/05/2014
Reviewed/revised by: Donna Costello