Test Code LAB39 Vancomycin Trough
Additional Codes
CPT Code: 80202
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. (Hemolyzed specimen is not acceptable.) Spin down and send 2 mL of lithium heparin plasma. Plasma for a trough level is drawn just prior to next dose.
Note: 1. Indicate plasma.
2. Label specimen appropriately (plasma).
Serum
Draw blood in a gold-top serum gel tube. (Hemolyzed specimen is not acceptable.) Spin down and send 2 mL of serum. Serum for a trough level is drawn just prior to next dose.
Note: 1. Indicate serum.
2. Label specimen appropriately (serum).
Reference Values
Therapeutic range: 10-20 mcg/mL
Critical value (automatic call-back): >30 mcg/mL
Complicated infections receive higher target levels (15 - 20 mcg/mL)