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Test Code THEO Theophylline, Serum

Clinical Indications

N/A

Additional Test Codes

Epic Order Name: Theophylline Level
Sunquest Order Code: THEO
Epic Px Code: LAB2499

Specimen Collection Type

Preferred: Mint
Acceptable: Gold

Minimum Collection Volume

1 mL whole blood

Reference Range

10.0 – 20.0 ug/mL

Critical Value

>25.0 ug/mL

Interpretation

N/A

Rejection Criteria

Gross Hemolysis

Specimen Availability for Add-on Testing

2 Days

Specimen Stability

2 Days Refrigerated

Day(s) Performed

Monday through Sunday

Performing Lab- Department

TUKHS-BH-Chemistry

CPT Code

80198

LOINC Code

4049-3

Test Alias

N/A

Additional Information / Notes

Specimens collected in a serum gel tube or lithium heparin gel tube must be centrifuged within 3 hours of collection. Serum gel should clot for 30 minutes prior to being centrifuged.