91164      Methotrexate
Specimen:
  Collect: One 10 mL Red Top

Also Acceptable
Two 4 mL Lavender (EDTA)
Two 4 mL Green Top (Li Heparin)
Two 4 mL Gray Top 
  Submit: 3 mL (Min:2 mL) Serum. Submit Frozen. Submit in a Standard Transport Tube.

Also Acceptable
3 mL (Min:2 mL) Plasma. Submit Frozen. Submit in a Standard Transport Tube. 
  Special Handling: Protect from Light
Separate from cells ASAP 
  Rejection Criteria: Use of separator tubes 
  Stability: Ambient: 4 Hour(s); Refrigerated: 24 Hour(s); Frozen: 6 Month(s); Incubated: Unacceptable 
Methodology: Fluorescence Polarization Immunoassay (FPIA); Immunoassay 
Performed: Sun-Sat 
Reported: 2-3 Day(s) 
CPT Codes:
80299 - TDM Unlisted
Interpretive Data:
General Reference Range : 0.50-1.00

Therapeutic range:
Low Dose: 0.50-1.00 umol/L
High dose - 24 hrs: <=5.00 umol/L
48 hrs: <=0.50 umol/L
72 hrs: <=0.10 umol/L