Antidepressants Panel 1, Tissue

Method(s)

Gas Chromatography (GC)

Suggested CPT Code(s)

80332

80337

80338

New York State Approval Status

Approved

Turnaround Time

4 days

Test Includes


1	Amitriptyline	Elavil®; Endep®	Gas Chromatography (GC)	ng/g	200	Antidepressant
2	Nortriptyline	Amitriptyline Metabolite; Aventyl®; Pamelor®	Gas Chromatography (GC)	ng/g	200	Antidepressant
3	Clomipramine	Anafranil®	Gas Chromatography (GC)	ng/g	200	Antidepressant
4	Desmethylclomipramine	Clomipramine Metabolite	Gas Chromatography (GC)	ng/g	200	Antidepressant
5	Imipramine	Tofranil®	Gas Chromatography (GC)	ng/g	200	Antidepressant
6	Desipramine	Imipramine Metabolite; Norpramin®; Pertofrane®	Gas Chromatography (GC)	ng/g	200	Antidepressant
7	Doxepin	Sinequan®	Gas Chromatography (GC)	ng/g	200	Antidepressant
8	Desmethyldoxepin	Doxepin Metabolite	Gas Chromatography (GC)	ng/g	200	Antidepressant
9	Trimipramine	Surmontil®	Gas Chromatography (GC)	ng/g	200	Antidepressant
10	Desmethyltrimipramine	Trimipramine Metabolite	Gas Chromatography (GC)	ng/g	200	Antidepressant
11	Fluoxetine	Prozac®	Gas Chromatography (GC)	ng/g	200	Antidepressant
12	Norfluoxetine	Fluoxetine Metabolite	Gas Chromatography (GC)	ng/g	200	Antidepressant
13	Protriptyline	Vivactil®	Gas Chromatography (GC)	ng/g	200	Antidepressant
14	Maprotiline	Ludiomil®	Gas Chromatography (GC)	ng/g	200	Antidepressant
15	Trazodone	Desyrel®	Gas Chromatography (GC)	mcg/g	2.0	Antidepressant
16	Amoxapine	Asendin®	Gas Chromatography (GC)	ng/g	200	Antidepressant
17	Mirtazapine	Remeron®	Gas Chromatography (GC)	ng/g	100	Antidepressant

Test Also Known As

; ; ; Adapin® Rhotrimine® Triptil®

Compliance Statement

This test was developed and its performance characteristics determined by NMS Labs. It has not been cleared or approved by the US Food and Drug Administration.

Sample Type

Tissue

Requested Volume

10 g

Minimum Volume

10 g

Special Handling

None

Sample Container

Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature

Refrigerated

Light Protection

Not Required

Rejection Criteria

None

Rejection criteria pertain to clinical sample submissions only.

Stability

Room Temperature: Undetermined
Refrigerated: Undetermined
Frozen (-20 °C): Undetermined

The CPT Codes provided in this document are based on AMA Guidelines and are for informational purposes only. NMS Labs Does not assume responsibility for billing errors due to Reliance on the CPT Codes listed in this document.

*The information contained in this document represents database configurations, as they will appear on the effective date listed above.