MITOTANE (LYSODREN)

General Information

HLAB/HOL Code: MITOT
UPHSM LIS Test #: 4784
Schedule: Monday - Sunday
Testing Time: 5 days
Testing Lab: MEDTOX

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 2.0 mL Plasma
Temperature: Refrigerate
Tube Type: 1 Green top Heparin tube
Collection Info:
Submit only 1 of the following specimens:

Draw blood in a heparin (green-top) tube. (Plasma gel tube is not acceptable.)
Spin down and send 2 mL of heparinized plasma refrigerated.
Note:
1. Indicate plasma on request form.
2. Label specimen appropriately (plasma).
3. Trough levels are most reproducible.
Volume: 2.0 mL Serum
Temperature: Refrigerate
Tube Type: 1 Red top
Collection Info:
Draw blood in a plain, red top tube. (Serum gel tube is not acceptable.)
Spin down and send 2 mL of serum refrigerated.
Note:
1. Indicate serum on request form.
2. Label specimen appropriately (serum).
3. Trough levels are most reproducible.

Methods

Gas Chromatography/Flame Ionization Detection

CPT Codes

82542

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Reference Range

Therapeutic and Toxic Ranges have not been established.
Usual therapeutic doses produc Mitotane serum concentrations of less than 100 ug/mL.

Test Performed By: Medtox Laboratories, Inc.
402 W. County Road D
St. Paul, MN 55112