Method(s)
Gas Chromatography (GC)
Suggested CPT Code(s)
80307
New York State Approval Status

Approved

Turnaround Time

4 days (If Positive: 11 days)

Test Includes
1 Amitriptyline Elavil®; Endep® Gas Chromatography (GC) ng/mL 10 Antidepressant
2 Nortriptyline Amitriptyline Metabolite; Aventyl®; Pamelor® Gas Chromatography (GC) ng/mL 10 Antidepressant
3 Clomipramine Anafranil® Gas Chromatography (GC) ng/mL 10 Antidepressant
4 Desmethylclomipramine Clomipramine Metabolite Gas Chromatography (GC) ng/mL 10 Antidepressant
5 Imipramine Tofranil® Gas Chromatography (GC) ng/mL 10 Antidepressant
6 Desipramine Imipramine Metabolite; Norpramin®; Pertofrane® Gas Chromatography (GC) ng/mL 10 Antidepressant
7 Doxepin Sinequan® Gas Chromatography (GC) ng/mL 10 Antidepressant
8 Desmethyldoxepin Doxepin Metabolite Gas Chromatography (GC) ng/mL 10 Antidepressant
9 Trimipramine Surmontil® Gas Chromatography (GC) ng/mL 10 Antidepressant
10 Desmethyltrimipramine Trimipramine Metabolite Gas Chromatography (GC) ng/mL 10 Antidepressant
11 Fluoxetine Prozac® Gas Chromatography (GC) ng/mL 10 Antidepressant
12 Norfluoxetine Fluoxetine Metabolite Gas Chromatography (GC) ng/mL 10 Antidepressant
13 Protriptyline Vivactil® Gas Chromatography (GC) ng/mL 10 Antidepressant
14 Maprotiline Ludiomil® Gas Chromatography (GC) ng/mL 10 Antidepressant
15 Trazodone Desyrel® Gas Chromatography (GC) mcg/mL 0.1 Antidepressant
16 Amoxapine Asendin® Gas Chromatography (GC) ng/mL 50 Antidepressant
17 Mirtazapine Remeron® Gas Chromatography (GC) ng/mL 5 Antidepressant

Test Also Known As
; ; ; Adapin® Rhotrimine® Triptil®
Reflex Tests
Test Code Test Name
5450SP Antidepressants Confirmation (Qualitative), Serum/Plasma
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
Serum or Plasma
Requested Volume
5 mL
Minimum Volume
2.4 mL
Special Handling
Serum: Collect sample in Red top tube

Plasma: Collect sample in Lavender top tube (EDTA) or Pink top tube.
Promptly centrifuge and separate Serum or Plasma into a plastic screw capped vial using approved guidelines.
Sample Container
Plastic container (preservative-free)

Additional Collection Instructions

Transport Temperature
Refrigerated
Light Protection
Not Required
Rejection Criteria
Received Room Temperature. Polymer gel separation tube (SST or PST).

Rejection criteria pertain to clinical sample submissions only.

Stability
Room Temperature: 2 day(s)
Refrigerated: 14 day(s)
Frozen (-20 °C): 14 day(s)

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.