THEOPHYLLINE PLASMA / SERUM

General Information

HLAB/HOL Code: THEO
UPHSM LIS Test #: 255
Schedule: Daily
Testing Time: 10 min
Testing Lab: UP Health System-Marquette

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 0.5 ml plasma or serum
Temperature: Refrigerate
Tube Type: 1 Li Heparin Plasma Barrier Tube or 1 SST Tube
Collection Info:
Centrifuge and refrigerate specimen after collection.  Include time of collection on request form.

Methods

Colorimetric

CPT Codes

80198

* 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

10 - 20 mg/dL
Panic Value (automatic call-back)
>25 mg/mL