DIPHENHYDRAMINE, SERUM/PLASMA

Test Details

Mnemonic

DIPHN

Ordering Code

3501260

CPT-4 Code(s)

80375 (G0480)

Specimen Information

Collect

Red top

Specimen Preparation

Centrifuge, separate serum from cells and send 1.0 mL serum refrigerated in a screw capped plastic vial.

Alternate Specimen

Plasma: EDTA

Minimum Volume

0.4 mL

Transport Temperature

Refrigerated

Rejection Criteria

Serum separator tube (SST), Plasma separator tube (PST)

Stability

Room temperature: 30 days
Refrigerated: 30 days
Frozen: 2 years

Methodology

High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS)

Reference Range

See report

Performing Laboratory

NMS Labs

New York DOH Approval Status

Yes

Turnaround Time

5 - 7 days

Performed

Varies

Legacy Code

DIPHENH

Example Report

Download

Interface Map for DIPHN

Test Name	Ordering Code	Result Code	Component Name	LOINC Code	AOE Prompt	Units
Diphenhydramine, Serum/Plasma	3501260
		3501260	Diphenhydramine, Serum/Plasma	3570-9	No

The CPT codes provided are for general informational purposes only and are based on an interpretation of AMA guidance. It is the sole responsibility of the billing party to determine CPT codes. Any questions regarding coding should be directed to the paying party.

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