Test Code LAB27 Gentamicin Random
Additional Codes
CPT Code: 80170
Performing Laboratory
TidalHealth Peninsula Regional - Core Laboratory: Chemistry
Specimen Requirements
Submit only 1 of the following specimens:
Plasma
Draw blood in a green-top (lithium heparin) tube from a fasting patient. (Hemolyzed specimen is not acceptable.) Spin down and send 2 mL of lithium heparin plasma.
Note: 1. Indicate plasma.
2. Label specimen appropriately (plasma).
Serum
Draw blood in a gold-top serum gel tube from a fasting patient. (Hemolyzed specimen is not acceptable.) Spin down and send 2 mL of serum.
Note: 1. Indicate serum.
2. Label specimen appropriately (serum).
Reference Values
< 6 months: ≤ 10.0 mcg/mL
> 6 months: ≤ 12.0 mcg/mL
Critical Values;
< 6 months: > 10.0 mcg/mL
> 6 months: > 12.0 mcg/mL